NPIMap

Organization Active NPI

Herrera Medical Group of Bedford & Associates

  • Family Medicine Physician
  • Bedford, TX
National Provider Identifier
1508078452
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERRERA MEDICAL GROUP OF BEDFORD & ASSOCIATES
Practice address
1305 Airport Freeway
Suite 302
Bedford, TX 76021
Phone
(817) 283-6995
Fax
(817) 283-6901
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Rodolfo A Herrera, MDNPI 1154524668
Title
Owner
Phone
(817) 283-6995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

1305 Airport Freeway
Suite 302
Bedford, TX 76021

Mailing address

1305 Airport Fwy Ste 302a
Bedford, TX 76021-6604
Phone (817) 283-6995

Other practice location 1

9239 Vista Way
Benbrook, TX 76126-2451
Phone (817) 737-3331

Other practice location 2

111 W 5th St
Justin, TX 76247-9622
Phone (940) 648-1400

Other practice location 3

308 W Rock Island Ave
Boyd, TX 76023-7602
Phone (940) 279-7111

Other names 1

  • Your Family Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071210000222 TX Part B Supplier - Clinic/Group Practice 8820187172 Receives reassigned benefits from 9 practitioners
Practice locations: Lewisville, TX; Flower Mound, TX; Benbrook, TX; Bedford, TX; Boyd, TX
O20260302003253 TX DME Supplier - Physician - Interventional Pain Management 8820187172 Practice locations: Bedford, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2269893Herrera Medical Group of Bedford9239 Vista Way, Benbrook, TX 76126AccreditationJan 1, 2028

National Provider Directory

National Provider Directory

Locations

9239 Vista Way
Fort Worth, TX 76126
Phone (682) 224-6474

571 W Main St
Ste 102
Lewisville, TX 75057

571 W Main St
Ste 120
Lewisville, TX 75057
Phone (972) 221-3500

3075 W Southlake Blvd
Southlake, TX 76092
Phone (817) 310-1065

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1508078452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 302A",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216604",
            "telephone_number": "817-283-6995",
            "fax_number": "817-283-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FREEWAY",
            "address_2": "SUITE 302",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-283-6995",
            "fax_number": "817-283-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9239 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Benbrook",
            "state": "TX",
            "postal_code": "761262451",
            "country_code": "US",
            "telephone_number": "817-737-3331",
            "fax_number": "817-737-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Justin",
            "state": "TX",
            "postal_code": "762479622",
            "country_code": "US",
            "telephone_number": "940-648-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 W ROCK ISLAND AVE",
            "address_purpose": "LOCATION",
            "city": "BOYD",
            "state": "TX",
            "postal_code": "760237602",
            "country_code": "US",
            "telephone_number": "940-279-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERRERA MEDICAL GROUP OF BEDFORD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-283-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Family Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.