Individual provider Active NPI

Paul Coleman, NP-C

  • Family Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1417537671
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1028760 Issued in TX
Practice address
895 N Nolan River Rd Ste 102
Cleburne, TX 76033-1250
Phone
(817) 556-9700
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1028760 TX Primary

Addresses

Primary practice location

895 N Nolan River Rd Ste 102
Cleburne, TX 76033-1250

Mailing address

895 N Nolan River Rd Ste 102
Cleburne, TX 76033-1250
Phone (817) 556-9700

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115000213 TX Practitioner - Nurse Practitioner 0345697223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1028760TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alazar Medical Group, PLLC CurrentSince Oct 23, 2023 Accepting new patients

Locations

895 N Nolan River Rd
Ste 102
Cleburne, TX 76033
Phone (817) 556-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAEJCA

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alazar Medical Group, PLLC 6 clinicians

Practice addresses (Care Compare)

895 N Nolan River Rd
Suite 102
Cleburne, TX 76033-1250
Phone (817) 556-9700

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1417537671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 N NOLAN RIVER RD STE 102",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760331250",
            "telephone_number": "817-556-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 N NOLAN RIVER RD STE 102",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760331250",
            "telephone_number": "817-556-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PAUL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1028760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.