Individual provider Active NPI

Meredith Dawn Braudaway Bialas, CPM, LM

  • Midwife
  • Shenandoah, TX
National Provider Identifier
1508353400
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99356 Issued in TX
Practice address
8845 Six Pines Dr Ste 150
Shenandoah, TX 77380-4296
Phone
(713) 907-0740
Fax
(817) 549-5430
NPI assigned
Apr 16, 2018
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 150085 TX
Midwife 176B00000X 99356 TX Primary

Addresses

Primary practice location

8845 Six Pines Dr Ste 150
Shenandoah, TX 77380-4296

Mailing address

8845 Six Pines Dr Ste 150
Shenandoah, TX 77380-4296
Phone (713) 907-0740

Other practice location 1

1001 W Randol Mill Rd
Arlington, TX 76012-2513
Phone (817) 962-0004

Other practice location 2

6035 Paradise Dr
Arlington, TX 76001-5293
Phone (817) 692-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99356TXMDMidwife
150085TXMDBirthing Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1508353400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 SIX PINES DR STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773804296",
            "telephone_number": "713-907-0740",
            "fax_number": "817-549-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 SIX PINES DR STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773804296",
            "telephone_number": "713-907-0740",
            "fax_number": "817-549-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Randol Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760122513",
            "country_code": "US",
            "telephone_number": "817-962-0004",
            "fax_number": "817-549-5430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6035 Paradise Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760015293",
            "country_code": "US",
            "telephone_number": "817-692-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIALAS",
        "first_name": "MEREDITH",
        "middle_name": "DAWN BRAUDAWAY",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "TX",
            "license": "150085",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.