Individual provider Active NPI

Carol A Bjorkman, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1730257403
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
507646 Issued in TX
Practice address
5939 Harry Hines Blvd.
Professional Office Building 2, Suite 600
Dallas, TX 75390-5688
Phone
(214) 645-5505
Fax
(214) 645-5639
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 507646 TX Primary

Addresses

Primary practice location

5939 Harry Hines Blvd.
Professional Office Building 2, Suite 600
Dallas, TX 75390-5688

Mailing address

5939 Harry Hines Blvd.
Professional Office Building 2, Suite 600
Dallas, TX 75390-5688
Phone (214) 645-5505

Other identifiers 3

IdentifierTypeStateIssuer
185568601MedicaidTX
185568603MedicaidTX
185568602MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000276 TX Practitioner - Nurse Practitioner 8820196595 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC CurrentSince Jun 1, 2014 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 19, 2015 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Oct 19, 2015 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince May 10, 2015 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Jun 1, 2014 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

5939 Harry Hines Blvd
Ste 600
Dallas, TX 75235
Phone (214) 645-5633

12230 Coit Rd
Ste 120
Dallas, TX 75251
Phone (972) 490-9500

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

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

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 6

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1730257403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD.",
            "address_2": "PROFESSIONAL OFFICE BUILDING 2, SUITE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753905688",
            "telephone_number": "214-645-5505",
            "fax_number": "214-645-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD.",
            "address_2": "PROFESSIONAL OFFICE BUILDING 2, SUITE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753905688",
            "telephone_number": "214-645-5505",
            "fax_number": "214-645-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORKMAN",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "507646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185568601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185568603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185568602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.