Individual provider Active NPI

Mary Brandt Hudelson, M.D.

  • Allergy & Immunology Physician
  • Flower Mound, TX
National Provider Identifier
1679530372
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
H4184 Issued in TX
Practice address
3051 Churchill Dr
Ste 130
Flower Mound, TX 75022-2710
Phone
(972) 539-0086
Fax
(972) 355-9680
NPI assigned
Apr 27, 2006
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X H4184 TX Primary

Addresses

Primary practice location

3051 Churchill Dr
Ste 130
Flower Mound, TX 75022-2710

Mailing address

3051 Churchill Dr Ste 130
Flower Mound, TX 75022-2710
Phone (972) 539-0086

Other practice location 1

209 N Bonnie Brae St Ste 100
Denton, TX 76201-3709
Phone (972) 539-0086

Other identifiers 3

IdentifierTypeStateIssuer
AETNAOtherTX4378428
82391SOtherTXBC/BS
030003804OtherTXRAILROAD MEDICARE

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
I20040419000185 TX Practitioner - Allergy/Immunology 5698760791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Texas Tech University Health Science Center School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faac PAGroup PAC ID 0840264032, 6 clinicians

Practice addresses (Care Compare)

209 N Bonnie Brae St
Suite 100
Denton, TX 76201-3709
Phone (972) 539-0086

3051 Churchill Dr
Flower Mound, TX 75022-2710
Phone (972) 539-0086

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faac, PA CurrentSince Apr 7, 2008 Accepting new patients
Kma Radiology, PA Past Accepting new patients

Locations

209 N Bonnie Brae St
Ste 100
Denton, TX 76201
Phone (972) 539-0086

3051 Churchill Dr
Ste 130
Flowermound, TX 75022
Phone (972) 539-0086

Interoperability endpoints

  • Direct secure messaging: mhudelson@faaccares.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1679530372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR STE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222710",
            "telephone_number": "972-539-0086",
            "fax_number": "972-355-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR",
            "address_2": "STE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222710",
            "telephone_number": "972-539-0086",
            "fax_number": "972-355-9680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N Bonnie Brae St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762013709",
            "country_code": "US",
            "telephone_number": "972-539-0086",
            "fax_number": "972-355-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDELSON",
        "first_name": "MARY",
        "middle_name": "BRANDT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H4184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4378428",
            "identifier": "AETNA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82391S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030003804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.