Doc D Medical Consulting, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOC D MEDICAL CONSULTING, PLLC

Practice address

6913 Camp Bowie Blvd Ste 107
Fort Worth, TX 76116-7164

Phone

(817) 367-9289

Fax

(817) 382-5217

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly Shea

Title

Credentialing Specialist

Phone

(817) 484-6274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Todd Dombroski, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fort Worth, TX
  • NPI 1144209552

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1629650791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167164",
            "telephone_number": "817-367-9289",
            "fax_number": "817-382-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167164",
            "telephone_number": "817-367-9289",
            "fax_number": "817-382-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC D MEDICAL CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "817-484-6274"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Duyen DO, DDS
• Dennis Phuong Doan, MD
• Lauren Doane, LCSW
• Lauren Grace Dobbs, PA
• Kaitlyn Dobson
• Doc N Vest LLC
• Rama Krishna V Docca, MD
• Doctors Eyewear Inc. (Dr Shropshire and Associates)
• Doctx3 PLLC
• Brandi L Dodd, OTR/L

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.