Active NPI
Adam Lees Myers, MD
- Family Medicine Physician
- Grapevine, TX
National Provider Identifier
1679544787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N8328
- Practice address
- 2451 Stone Myers Parkway, Suite 200
Grapevine, TX 76051 - Phone
- (817) 251-2263
- Fax
- (817) 251-2276
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20327 | OK | |
| Family Medicine Physician | 207Q00000X | N8328 | TX | Primary |
Addresses
Primary practice location
2451 Stone Myers Parkway, Suite 200
Grapevine, TX 76051
Mailing address
2451 Stone Myers Parkway, Suite 200
Grapevine, TX 76051
Phone (817) 251-2263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100084220A | Medicaid | OK | |
| 800522535 | Other | OK | MEDICARE GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broken Arrow Medical Group LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1679544787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 STONE MYERS PARKWAY, SUITE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-251-2263",
"fax_number": "817-251-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 STONE MYERS PARKWAY, SUITE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-251-2263",
"fax_number": "817-251-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ADAM",
"middle_name": "LEES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "20327",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N8328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100084220A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "800522535",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.