Linda A Prentice, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K1003 Issued in TX

Practice address

1615 Hospital Pkwy Ste 204
Bedford, TX 76022-5936

Phone

(817) 684-5002

Fax

(817) 684-5150

NPI assigned

Dec 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2385/brand/1/csg/1/fhir/r4

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.

• Deuteronomy

  • General Practice Physician
  • Bedford, TX
  • NPI 1013938125
  NPD (past)
• Joan L Bergstrom, MD PA

  • Multi-Specialty Clinic/Center
  • Arlington, TX
  • NPI 1164647434

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1720063985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 204",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225936",
            "telephone_number": "817-684-5002",
            "fax_number": "817-684-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 204",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225936",
            "telephone_number": "817-684-5002",
            "fax_number": "817-684-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K1003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046101404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BW433",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Post Acute Care Specialists LLC
• Ted Blake Powell, M.D.
• Elizabeth Jodell Powers, M.A. LPC
• Meenakshi Prabhakar, MD
• Roshni Pranav, DO
• Nathan Prescott, D.O.
• Prestonwood Pain Center, LLC
• Primary Pinnacle Diagnostic LLC
• Priya Subramanian MD PA
• Provectus Family Eyecare PLLC

• Obstetrics & Gynecology Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.