Individual provider Active NPI

Katherine Bernhardt Hurley, M.D.

  • Emergency Medicine Physician
  • Plano, TX
National Provider Identifier
1457763559
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S3677 Issued in TX
Practice address
4509 Waterford Dr
Plano, TX 75024-5201
Phone
(727) 744-0483
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3677 TX
Emergency Medicine Physician 207P00000X S3677 TX Primary

Addresses

Primary practice location

4509 Waterford Dr
Plano, TX 75024-5201

Mailing address

4509 Waterford Dr
Plano, TX 75024-5201

Other practice location 1

20923 Kingsland Blvd
Katy, TX 77450
Phone (727) 744-0483

Other practice location 2

235 W Palm St Ste 107
Bellville, TX 77418-1300
Phone (281) 896-8915

Other practice location 3

8 Briar Patch Cir
Bellville, TX 77418
Phone (727) 744-0483

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001754 TX Practitioner - Family PracticePractitioner - Hospitalist 6507151578 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Texas Tech University Health Science Center School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Cypress PLLCGroup PAC ID 5799217451, 27 clinicians

Practice addresses (Care Compare)

504 Lipscomb St
Bonham, TX 75418-4028
Phone (903) 583-8585

Hospital & facility affiliations

  • TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S3677TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Physicians PLLC CurrentSince Mar 12, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Mar 12, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas - Cypress PLLC CurrentSince Sep 4, 2024 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Apr 8, 2020 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Mar 12, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Apr 8, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Jul 27, 2024 Accepting new patients
Access Telecare, PLLC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

5100 Loop 500 E
Center, TX 75935
Phone (936) 568-3450

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

920 Hillcrest Dr
Vernon, TX 76384
Phone (940) 552-9351

1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1457763559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WATERFORD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 WATERFORD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245201",
            "telephone_number": "727-744-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20923 Kingsland Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "77450",
            "country_code": "US",
            "telephone_number": "727-744-0483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 W Palm St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Bellville",
            "state": "TX",
            "postal_code": "774181300",
            "country_code": "US",
            "telephone_number": "281-896-8915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Briar Patch Cir",
            "address_purpose": "LOCATION",
            "city": "Bellville",
            "state": "TX",
            "postal_code": "77418",
            "country_code": "US",
            "telephone_number": "727-744-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "KATHERINE",
        "middle_name": "BERNHARDT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3677",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S3677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.