NPIMap

Individual provider Active NPI

Bradford A Gamble, MD

  • Specialist
  • Plano, TX
National Provider Identifier
1629021498
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3577 Issued in TX
Practice address
6300 W Parker Rd
Ste 326
Plano, TX 75093-8100
Phone
(972) 378-0633
Fax
(972) 378-0656
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K3577 TX Primary

Addresses

Primary practice location

6300 W Parker Rd
Ste 326
Plano, TX 75093-8100

Mailing address

6300 W Parker Rd
Ste 326
Plano, TX 75093-8100
Phone (972) 378-0633

Other identifiers 3

IdentifierTypeStateIssuer
83560XOtherTXBCBS PROVIDER NUMBER
040014024OtherMEDICARE RAILROAD PIN
7082003OtherTXAETNA PROVIDER NUMBER

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
I20090416000502 TX Practitioner - Otolaryngology 7416916085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otolaryngology Specialists of North Texas PAGroup PAC ID 4981830627, 6 clinicians

Practice addresses (Care Compare)

6300 W Parker Rd
Suite G24
Plano, TX 75093-8104

6300 W Parker Rd
Suite G24
Plano, TX 75093-8105
Phone (972) 378-0633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.25 of 100Reported as individual
Quality
75.91
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3577TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Specialists of North Texas PA Specialist CurrentSince Sep 7, 2013 Accepting new patients
Southwest ENT Associates PA Specialist Past Accepting new patients
Southwest ENT Associates PA Specialist PastSince Jan 31, 1996 Accepting new patients

Locations

7515 Greenville Ave
Ste 410
Dallas, TX 75231

6300 W Parker Rd
Ste G24
Plano, TX 75093
Phone (972) 378-0633

6300 W Parker Rd
Ste 326
Plano, TX 75093
Phone (972) 378-0633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGDCA

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.

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1629021498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "STE 326",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-378-0633",
            "fax_number": "972-378-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD",
            "address_2": "STE 326",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938100",
            "telephone_number": "972-378-0633",
            "fax_number": "972-378-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "BRADFORD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "83560X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "040014024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7082003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.