Organization Active NPI

Ronald G. Bristow, M.D. and Assoc.

  • Medical Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1467766790
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E3217 Issued in TX
Legal business name
RONALD G. BRISTOW, M.D. AND ASSOC.
Practice address
1110 N Buckner Blvd
Suite 103
Dallas, TX 75218-3487
Phone
(214) 328-8200
Fax
(214) 328-1332
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Ronald Griffith Bristow, M.D.
Title
Physician/Owner
Phone
(214) 328-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E3217 TX Primary

Addresses

Primary practice location

1110 N Buckner Blvd
Suite 103
Dallas, TX 75218-3487

Mailing address

1110 N Buckner Blvd
Suite 103
Dallas, TX 75218-3487
Phone (214) 328-8200

National Provider Directory

National Provider Directory

Locations

1110 N Buckner Blvd
Ste 103
Dallas, TX 75218
Phone (214) 328-8200

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1467766790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BUCKNER BLVD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183487",
            "telephone_number": "214-328-8200",
            "fax_number": "214-328-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N BUCKNER BLVD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183487",
            "telephone_number": "214-328-8200",
            "fax_number": "214-328-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G. BRISTOW, M.D. AND ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "BRISTOW",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GRIFFITH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "214-328-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E3217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.