Individual provider Active NPI

Bryan Mathew David, M.D.

  • Surgery Physician
  • Denton, TX
National Provider Identifier
1497119549
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T5293 Issued in TX
Practice address
3537 S Interstate 35 E Ste 220
Denton, TX 76210-6813
Phone
(682) 224-3748
Fax
(682) 841-0039
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X ME147382 FL
Surgery Physician 208600000X T5293 TX Primary

Addresses

Primary practice location

3537 S Interstate 35 E Ste 220
Denton, TX 76210-6813

Mailing address

800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748

Other practice location 1

1866 Keller Pkwy
Keller, TX 76248-3764
Phone (682) 224-3748

Other practice location 2

6161 N Hwy 161 Ste 324
Irving, TX 75038-2220
Phone (682) 224-3748

Other practice location 3

6750 N MacArthur Blvd Ste 257
Irving, TX 75039-2875
Phone (682) 224-3748

Other identifiers 2

IdentifierTypeStateIssuer
110962500MedicaidFL
0ZINDOtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdavid187948@direct.tgh.org

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
I20220609000299 TX Practitioner - General Surgery 2163714601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Surgical Specialists PLLCGroup PAC ID 8921364100, 32 clinicians

Practice addresses (Care Compare)

800 8TH Ave
Suite 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748

Hospital & facility affiliations

  • Medical City Denton Hospital, Denton, TX, CCN 450634
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
55.48
Promoting interoperability
88
Improvement activities
40
Cost
74.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147382FLMDSurgery Physician
T5293TXMDSurgery Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Surgery Associates of NTX, PLLC Surgery CurrentSince Mar 1, 2023 Accepting new patients
Little Lantern Clinic LLC Surgery CurrentSince Jun 1, 2022 Accepting new patients
Dallas Nephrology Associates Past Accepting new patients

Locations

4541 N Josey Ln
Ste 110
Carrollton, TX 75010
Phone (469) 775-9555

3537 S Interstate 35 E
Ste 220
Denton, TX 76210
Phone (214) 579-6800

3537 S Interstate 35 E
Ste 200
Denton, TX 76210
Phone (940) 384-4595

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

6750 N MacArthur Blvd
Ste 257
Irving, TX 75039
Phone (214) 501-5427

6750 N MacArthur Blvd
#257
Irving, TX 75039
Phone (469) 284-8990

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: bdavid187948@direct.tgh.org

Organizations & group practices 4

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 2

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1497119549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042602",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 S INTERSTATE 35 E STE 220",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106813",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1866 Keller Pkwy",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483764",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 N Hwy 161 Ste 324",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382220",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 N MacArthur Blvd Ste 257",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392875",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "BRYAN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME147382",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T5293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110962500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0ZIND",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdavid187948@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.