Individual provider Active NPI

Troy Bender, PA-C

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1508181843
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08560 Issued in TX
Practice address
1105 Central Expy N
Suite 120
Allen, TX 75013-6103
Phone
(972) 727-9995
NPI assigned
Mar 30, 2010
Last updated
Dec 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200343 LA
Physician Assistant 363A00000X PA08560 TX Primary

Addresses

Primary practice location

1105 Central Expy N
Suite 120
Allen, TX 75013-6103

Mailing address

1105 Central Expy N
Suite 120
Allen, TX 75013-6103
Phone (972) 727-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140114000867 TX Practitioner - Physician Assistant 3375674054 Reassigns benefits to 1 organization
I20191219001091 OK Practitioner - Physician Assistant 3375674054 Reassigns benefits to 1 organization
I20211201000121 WA Practitioner - Physician Assistant 3375674054 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14841 179TH Ave SE
Monroe, WA 98272-1127

1909 214TH St SE
Suite 110
Bothell, WA 98021-4412
Phone (425) 488-4988

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200343LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Apr 15, 2020 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Sep 1, 2024 Accepting new patients
Adair County Health Center,Inc. Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Nov 1, 2022 Accepting new patients
Orleans Orthopaedic Associates, LLC CurrentSince Sep 1, 2012 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Feb 1, 2022 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Nov 1, 2022 Accepting new patients
Cherokee Nation CurrentSince Apr 15, 2020 Accepting new patients
Adair County Health Center, Inc. CurrentSince Nov 4, 2019 Accepting new patients
Adams County Public Hospital District 3 CurrentSince Dec 9, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Adair County Health Center, Inc. CurrentSince Nov 4, 2019 Accepting new patients
Apple Health of Louisiana LLC Past Accepting new patients

Locations

3715 Prytania St
Ste 501
New Orleans, LA 70115
Phone (504) 895-2055

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

315 N 14th Ave
Othello, WA 99344
Phone (509) 331-2667

16916 140th Ave NE
Ste 200
Woodinville, WA 98072
Phone (425) 488-2273

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1508181843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-727-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N",
            "address_2": "SUITE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136103",
            "telephone_number": "972-727-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "TROY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200343",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.