NPIMap

Individual provider Active NPI

Jeffry Alan Brace, D.O.

  • Diagnostic Radiology Physician
  • Hurst, TX
National Provider Identifier
1730490467
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P0894 Issued in TX
Practice address
1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Phone
(817) 336-4638
Fax
(817) 336-7637
NPI assigned
Jun 28, 2010
Last updated
Aug 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X P0894 TX
Diagnostic Radiology Physician 2085R0202X P0894 TX Primary

Addresses

Primary practice location

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109

Mailing address

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Phone (817) 336-4638

Other identifiers 2

IdentifierTypeStateIssuer
301740203MedicaidTX
311275YTVPOtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000456 TX Practitioner - Diagnostic Radiology 5496911547 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
North Star MRI LPGroup PAC ID 5890762330, 54 clinicians
North Star CN LPGroup PAC ID 0547589376, 20 clinicians
North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians
North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians

Practice addresses (Care Compare)

1111 Montreau CT
Arlington, TX 76012-2737
Phone (713) 461-3573

12052 Toscana Way
Frisco, TX 75035-2295
Phone (972) 492-3846

801 W Interstate 20
Arlington, TX 76017-5851
Phone (972) 492-3846

997 Raintree Cir
Suite 110
Allen, TX 75013-4952
Phone (972) 954-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
P0894TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI LP CurrentSince Jun 22, 2024 Accepting new patients
North Star FP, LP CurrentSince Jun 22, 2024 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Jan 1, 2015 Accepting new patients
North Star FM, LP CurrentSince Jul 24, 2024 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Jun 22, 2024 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince May 1, 2017 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jun 22, 2024 Accepting new patients
North Star NPT LP CurrentSince Jun 22, 2024 Accepting new patients
North Star MCD, LLC CurrentSince Jun 22, 2024 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Jul 29, 2013 Accepting new patients
North Star GV, LP CurrentSince Jun 22, 2024 Accepting new patients
North Star MCD, LLC CurrentSince Jun 22, 2024 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1730490467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 209",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "817-336-4638",
            "fax_number": "817-336-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 209",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "817-336-4638",
            "fax_number": "817-336-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACE",
        "first_name": "JEFFRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "P0894",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P0894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301740203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "311275YTVP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.