Individual provider Active NPI

Brandy N Welch, MD

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1528057544
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P7227 Issued in TX
Practice address
2875 Main St Ste 104
Frisco, TX 75036-4594
Phone
(214) 872-1877
Fax
(214) 872-3114
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P7227 TX Primary

Addresses

Primary practice location

2875 Main St Ste 104
Frisco, TX 75036-4594

Mailing address

PO Box 961205
Fort Worth, TX 76161-0205
Phone (817) 740-8400

Other practice location 1

4311 Wesley St
Greenville, TX 75401-5639
Phone (903) 455-4458

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
I20161115000423 TX Practitioner - Pediatric Medicine 2062480999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P7227TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Pediatrics Pediatrics CurrentSince Aug 6, 2019 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Dec 6, 2021 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Dec 6, 2021 Accepting new patients

Locations

1500 W Rosedale St
Fort Worth, TX 76104
Phone (682) 885-3426

2875 Main St
Ste 104
Frisco, TX 75036
Phone (214) 872-1877

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

Interoperability endpoints

  • Direct secure messaging: bwelch175201@cookchildrens.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1528057544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610205",
            "telephone_number": "817-740-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 MAIN ST STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364594",
            "telephone_number": "214-872-1877",
            "fax_number": "214-872-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 Wesley St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754015639",
            "country_code": "US",
            "telephone_number": "903-455-4458",
            "fax_number": "903-455-1604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "BRANDY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P7227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.