Active NPI
Gerald J Harder, M.D.
- Internal Medicine Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K7296
- Practice address
- 731 E Southlake Blvd
Suite 100
Southlake, TX 76092-6377 - Phone
- (817) 912-8800
- Fax
- (817) 912-8810
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K7296 | TX | Primary |
Addresses
Primary practice location
731 E Southlake Blvd
Suite 100
Southlake, TX 76092-6377
Mailing address
731 E Southlake Blvd
Suite 100
Southlake, TX 76092-6377
Phone (817) 912-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89072G | Other | TX | BCBS |
| 037104901 | Medicaid | TX |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100426000038 | TX | Practitioner - Internal Medicine | 7214064104 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healthtexas Provider Network
Practice addresses (Care Compare)
4001 Worth St
Dallas, TX 75246-1608
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
731 E Southlake Blvd
Suite 100
Southlake, TX 76092-6378
Phone (817) 424-3366
Hospital & facility affiliations
- Accentcare Home Health of Fort Worth
- Encompass Home Health of DFW
- Baylor Scott & White Medical Center Grapevine
- Baylor Scott & White Institute for Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
1001 W Southlake Blvd
Southlake, TX 76092
Phone (817) 310-0421
925 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 912-8560
731 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 424-3366
Interoperability endpoints
- gharder224885@direct.sw.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Internal Medicine, TX
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
Internal Medicine
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
Hospital
-
- Home Health Agency
- Grapevine, TX
- NPI 1245521103
-
- Home Health Agency
- Fort Worth, TX
- NPI 1023548930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1457375396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD",
"address_2": "SUITE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926377",
"telephone_number": "817-912-8800",
"fax_number": "817-912-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD",
"address_2": "SUITE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926377",
"telephone_number": "817-912-8800",
"fax_number": "817-912-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDER",
"first_name": "GERALD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K7296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89072G",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037104901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.