CD Urgent Care Center 5, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CD URGENT CARE CENTER 5, PLLC

Practice address

3020 W 7TH St
Suite 210
Fort Worth, TX 76107-9202

Phone

(214) 871-7000

Fax

(214) 871-7020

NPI assigned

Sep 2, 2015

Last updated

Sep 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brenna J Nance, M.D.NPI 1114903150

Title

Managing Partner

Phone

(214) 404-1958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenna J Nance, M.D.

  • Emergency Medicine Physician
  • North Richland Hills, TX
  • NPI 1114903150
  Medicare reassignment Care Compare group NPD Authorized official
• Karin S Anderson, MD

  • Emergency Medicine Physician
  • Arlington, TX
  • NPI 1285619668
  Medicare reassignment Care Compare group NPD
• Briana Barnett, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1407562523
  Medicare reassignment Care Compare group NPD
• Gayla B Garner, M.D.

  • Emergency Medicine Physician
  • Arlington, TX
  • NPI 1093791774
  Medicare reassignment Care Compare group NPD
• Jose Ernesto Gomez, MD

  • Student in an Organized Health Care Education/Training Program
  • Dallas, TX
  • NPI 1407551211
  Medicare reassignment Care Compare group NPD
• Vanessa L Johnson, MD

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1598741878
  Medicare reassignment Care Compare group NPD
• Michael Steven Puhl, FNP

  • Family Nurse Practitioner
  • Weatherford, TX
  • NPI 1558314336
  Medicare reassignment Care Compare group NPD
• Shiwali Rai, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1346283090
  Medicare reassignment Care Compare group NPD
• Rachel Anne Stewart, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1780810887
  Medicare reassignment Care Compare group NPD
• Kristal Dawn Taylor, NP

  • Family Nurse Practitioner
  • Lake Worth, TX
  • NPI 1881929214
  Medicare reassignment Care Compare group NPD
• Janey Umstattd

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1992315741
  Medicare reassignment Care Compare group NPD
• Eileen Williams, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1033840913
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1407224850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 ALLEN ST",
            "address_2": "PMB 420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041031",
            "telephone_number": "214-871-7000",
            "fax_number": "214-871-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 W 7TH ST",
            "address_2": "SUITE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761079202",
            "telephone_number": "214-871-7000",
            "fax_number": "214-871-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD URGENT CARE CENTER 5, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-404-1958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Mari Cecil, PHYSICAL THERAPIST
• Laurie Dy'Ona Cedeno, D.C.
• Alianna Cedillo

• Urgent Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.