NPIMap

Organization Active NPI

Legacy Heart Care of Fort Worth, LLC

  • Cardiovascular Disease Physician
  • Fort Worth, TX
National Provider Identifier
1730120908
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LEGACY HEART CARE OF FORT WORTH, LLC
Practice address
2500 West Fwy Ste 200
Fort Worth, TX 76102-5851
Phone
(817) 423-4400
Fax
(817) 423-8080
NPI assigned
Jun 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Michael Brett Gratch
Title
President
Phone
(817) 423-4400

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 65

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20110427000208 TX Part B Supplier - Clinic/Group Practice 2860677341 Receives reassigned benefits from 64 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2500 West Fwy Ste 200
Fort Worth, TX 76102-5851

Mailing address

2500 West Fwy Ste 200
Fort Worth, TX 76102-5851
Phone (817) 423-4400

Other names 2

NPPES NPI Registry
  • Flow Therapy Fort Worth Doing business as
  • Legacy Heart Care, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2025.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1730120908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WEST FWY STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025851",
            "telephone_number": "817-423-4400",
            "fax_number": "817-423-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WEST FWY STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025851",
            "telephone_number": "817-423-4400",
            "fax_number": "817-423-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEART CARE OF FORT WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "GRATCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-423-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flow Therapy Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Heart Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Legacy Heart Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.