Active NPI
Usrc Bluebonnet, LLC
Doing business as US Renal Care Bluebonnet Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Worth, TX
National Provider Identifier
1437756772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC BLUEBONNET, LLC
- Doing business as
- US Renal Care Bluebonnet Dialysis
- Practice address
- 1902 Windsor PL
Ste 100
Fort Worth, TX 76110-1866 - Phone
- (682) 285-9980
- Fax
- (682) 285-2575
- NPI assigned
- Oct 8, 2020
- Organization subpart
- Yes
- Parent organization
- US RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L Weinberg
- Title
- Chairman
- Phone
- (214) 736-2730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1902 Windsor PL
Ste 100
Fort Worth, TX 76110-1866
Mailing address
PO Box 251549
Plano, TX 75025-1500
Phone (214) 736-2700
Other names 1
- US RENAL CARE BLUEBONNET DIALYSIS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201109000344 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7315357068 | Practice locations: Fort Worth, TX |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602115200000",
"number": "1437756772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251549",
"city": "PLANO",
"state": "TX",
"postal_code": "750251500",
"telephone_number": "214-736-2700",
"fax_number": "214-291-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 WINDSOR PL",
"address_2": "STE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101866",
"telephone_number": "682-285-9980",
"fax_number": "682-285-2575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC BLUEBONNET, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "US RENAL CARE, INC.",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-06",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "214-736-2730"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "US RENAL CARE BLUEBONNET DIALYSIS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Worth, TX
- James C Uselton, CRNA
- Usmd Diagnostic Services, LLC
- Usmd Diagnostic Services, LLC
- Usmd Hospital at Fort Worth, L.P.
- Usrc Bluebonnet Home, LLC (US Renal Care Bluebonnet Home Dialysis)
- Usrc Bryant Irvin, LLC (U.S. Renal Care Bryant Irvin Dialysis)
- Usrc East Ft Worth LLC (U.S. Renal Care East Fort Worth Dialysis)
- Usrc Eastchase, LLC (U.S. Renal Care Eastchase Dialysis)
- Usrc Keller LLC (U.S. Renal Care Keller Dialysis)
- Usrc Quebec Street, LLC (U.S. Renal Care Quebec Street Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.