Individual provider Active NPI

Annette H Bamberger-Perkins, MD

  • Pain Medicine (Anesthesiology) Physician
  • Grand Prairie, TX
National Provider Identifier
1700832284
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J3427 Issued in TX
Practice address
517 N Carrier Pkwy Ste a
Grand Prairie, TX 75050-5464
Phone
(469) 251-1734
Fax
(972) 642-5183
NPI assigned
May 26, 2006
Last updated
Jul 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X J3427 TX Primary

Addresses

Primary practice location

517 N Carrier Pkwy Ste a
Grand Prairie, TX 75050-5464

Mailing address

517 N Carrier Pkwy Ste a
Grand Prairie, TX 75050-5464
Phone (469) 251-1734

Other names 1

  • Mrs. Annette H Bamberger Former name

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
I20061005000587 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 5092711515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
LVL Clinical Services PA Current Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients
Dallas Physician Medical Services for Children Inc Past Accepting new patients
Hatton Anesthesia LLC Past Accepting new patients
Apm Physicians PLLC Advanced Pain Management Physicians Pain Medicine Past Accepting new patients

Organizations & group practices 5

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1700832284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464",
            "telephone_number": "469-251-1734",
            "fax_number": "972-642-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N CARRIER PKWY STE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505464",
            "telephone_number": "469-251-1734",
            "fax_number": "972-642-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBERGER-PERKINS",
        "first_name": "ANNETTE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J3427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "BAMBERGER",
            "middle_name": "H",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.