Organization Active NPI

Medpoint Management Group, LLC

  • Clinical Medical Laboratory
  • Addison, TX
National Provider Identifier
1467933184
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDPOINT MANAGEMENT GROUP, LLC
Practice address
4841 Keller Springs Rd Ste B
Addison, TX 75001-5912
Phone
(469) 848-7370
NPI assigned
Aug 22, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Mr. Brent Brudwick
Title
Operations
Phone
(469) 848-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4841 Keller Springs Rd Ste B
Addison, TX 75001-5912

Mailing address

4841 Keller Springs Rd Ste B
Addison, TX 75001-5912

National Provider Directory

National Provider Directory

Locations

4841 Keller Springs Rd
Ste B
Addison, TX 75001
Phone (469) 848-7370

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1467933184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 KELLER SPRINGS RD STE B",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 KELLER SPRINGS RD STE B",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015912",
            "telephone_number": "469-848-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPOINT MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUDWICK",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "469-848-7370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.