NPIMap

Organization Active NPI

Surgical Associates of the Mid-Cities PA

  • Surgery Physician
  • Grapevine, TX
National Provider Identifier
1497882625
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES OF THE MID-CITIES PA
Practice address
2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone
(817) 267-2678
Fax
(817) 354-0854
NPI assigned
Feb 27, 2007
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Michael W Bryan, M.D.NPI 1659410660
Title
Partner
Phone
(817) 267-2678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Surgery Physician 208600000X NU Primary
Vascular Surgery Physician 2086S0129X NU
Colon & Rectal Surgery Physician 208C00000X NU

Addresses

Primary practice location

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766

Mailing address

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone (817) 267-2678

National Provider Directory

National Provider Directory

Locations

9509 N Beach St
Ste 102
Fort Worth, TX 76244
Phone (817) 251-0070

2050 Hall Johnson Rd
Ste 200
Grapevine, TX 76051
Phone (817) 267-2678

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1497882625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766",
            "telephone_number": "817-267-2678",
            "fax_number": "817-354-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766",
            "telephone_number": "817-267-2678",
            "fax_number": "817-354-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF THE MID-CITIES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-267-2678",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.