NPIMap

Individual provider Active NPI

Bradly Bundrant, M.D.

  • Family Medicine Physician
  • Ballinger, TX
National Provider Identifier
1609863760
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7275 Issued in TX
Practice address
2001 Hutchins Ave Ste C
Ballinger, TX 76821-4453
Phone
(325) 365-5737
NPI assigned
Oct 4, 2005
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H7275 TX
Family Medicine Physician 207Q00000X H7275 TX Primary
Sleep Medicine (Family Medicine) Physician 207QS1201X H7275 TX

Addresses

Primary practice location

2001 Hutchins Ave Ste C
Ballinger, TX 76821-4453

Mailing address

PO Box 617
Ballinger, TX 76821-0617
Phone (325) 365-5737

Other practice location 1

608 Avenue B
Ballinger, TX 76821-2406
Phone (325) 365-2531

Other identifiers 4

IdentifierTypeStateIssuer
139813304MedicaidTX
0066DNOtherTXBCBS
H7275OtherTX207P00000X
139813338MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000995 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Sleep Medicine 1658398722 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Sleep Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lavaca Hospital DistrictGroup PAC ID 1153211750, shared by 4 NPIs, 23 clinicians

Practice addresses (Care Compare)

1400 N Texana St
Hallettsville, TX 77964-2021
Phone (361) 798-3671

608 Ave B
Ballinger, TX 76821-2406
Phone (325) 365-2531

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Feb 8, 2018 Accepting new patients
Lavaca Hospital District Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Feb 8, 2018 Accepting new patients
Ballinger Memorial Hospital District Current Accepting new patients
Lavaca Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Ballinger Memorial Hospital District Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Medical Home Partners, PA Family Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Ballinger Memorial Hospital District Past Accepting new patients
Apogee Medical Group Texas PA PastSince Oct 8, 2023 Accepting new patients
Step Emergency Physicians Emergency Medicine Past Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine PastSince Apr 21, 2024 Accepting new patients
Lavaca Hospital District Past Accepting new patients
Care Level Management Direct Medical Group Texas, PA Past Accepting new patients

Locations

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10195/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ballmhd-ac9e1005

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ballinger Healthcare and Rehabilitation CenterBallinger, TX, CCN 675614 Skilled nursing facility Managing Control - Governing Body Jan 1, 2025
Park Plaza Nursing and Rehabilitation CenterSan Angelo, TX, CCN 675982 Skilled nursing facility Managing Control - Governing Body Jan 1, 2025
Cedar Manor Nursing and Rehabilitation CenterSan Angelo, TX, CCN 676068 Skilled nursing facility Managing Control - Governing Body Jan 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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 15

Hospital & facility affiliations 6

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1609863760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768210617",
            "telephone_number": "325-365-5737",
            "fax_number": "325-365-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HUTCHINS AVE STE C",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768214453",
            "telephone_number": "325-365-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Avenue B",
            "address_purpose": "LOCATION",
            "city": "Ballinger",
            "state": "TX",
            "postal_code": "768212406",
            "country_code": "US",
            "telephone_number": "325-365-2531",
            "fax_number": "325-365-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNDRANT",
        "first_name": "BRADLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H7275",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7275",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TX",
            "license": "H7275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139813304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0066DN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "207P00000X",
            "identifier": "H7275",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139813338",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballinger, TX

Sources for this page

Verify at the official NPI Registry.