Individual provider Active NPI

Glen Alan Beede, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Worth, TX
National Provider Identifier
1407854920
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1317 Issued in TX
Practice address
5801 Oakbend TRL Ste 140
Fort Worth, TX 76132-3936
Phone
(817) 377-3668
Fax
(817) 763-9385
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1317 TX Primary

Addresses

Primary practice location

5801 Oakbend TRL Ste 140
Fort Worth, TX 76132-3936

Mailing address

5801 Oakbend TRL Ste 140
Fort Worth, TX 76132-3936
Phone (817) 377-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000736 TX Practitioner - Podiatry 3072666304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Foot and Ankle Specialists PLLCGroup PAC ID 8820388663, 2 clinicians

Practice addresses (Care Compare)

5801 Oakbend TRL
Suite 140
Fort Worth, TX 76132-3936
Phone (817) 377-3668

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue59
Removal of nail tissue92
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1317TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Foot & Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Aug 5, 2015 Accepting new patients
Podiatric Medical Partners of Texas, PA Foot & Ankle Surgery PastSince Mar 29, 2010 Accepting new patients

Locations

5801 Oakbend Trl
Ste 140
Ft Worth, TX 76132
Phone (817) 346-7481

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1407854920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323936",
            "telephone_number": "817-377-3668",
            "fax_number": "817-763-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323936",
            "telephone_number": "817-377-3668",
            "fax_number": "817-763-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEDE",
        "first_name": "GLEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.