Individual provider Active NPI

Paul Bannister, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1740260728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
L2124 Issued in TX
Practice address
4350 Alpha Rd
Dallas, TX 75244-4404
Phone
(972) 404-9345
Fax
(972) 404-2506
NPI assigned
Jan 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X L2124 TX Primary

Addresses

Primary practice location

4350 Alpha Rd
Dallas, TX 75244-4404

Mailing address

7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4204
Phone (561) 712-6265

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
I20130731000476 TX Practitioner - Pathology 8729229927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Pathology SolutionsGroup PAC ID 0840716296, 2 clinicians

Practice addresses (Care Compare)

3600 Gaston Ave
Dallas, TX 75246-1800
Phone (972) 966-7830

3600 Gaston Ave
Wadley Tower Suite 261
Dallas, TX 75246-1902

4006 Belt Line Rd
Suite 175
Addison, TX 75001-5807
Phone (214) 619-5632

4700 Alliance Blvd
Plano, TX 75093-5323
Phone (469) 814-2000

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathologists Bio-Medical Laboratories PLLC CurrentSince Jul 6, 2012 Accepting new patients
Community Cardiovascular Solutions Anatomic Pathology & Clinical Pathology CurrentSince Aug 15, 2025 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Community Health Pathology Solutions Anatomic Pathology & Clinical Pathology CurrentSince Mar 19, 2025 Accepting new patients
Pathologists Bio-Medical Laboratories PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 6, 2012 Accepting new patients
Community Health Endovascular Associates PastSince Mar 19, 2025 Accepting new patients
Pathologists Biomedical Laboratories PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

4006 Belt Line Rd
Ste 175
Addison, TX 75001
Phone (214) 619-5632

4006 Belt Line Rd
Ste 185
Addison, TX 75001
Phone (214) 619-5632

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 2
Dallas, TX 75246
Phone (972) 966-7830

3600 Gaston Ave
Ste 261
Dallas, TX 75246
Phone (214) 818-9100

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

7600 Better Way
Frisco, TX 75033
Phone (214) 407-5322

800 8th Ave
Ste 326
Ft Worth, TX 76104
Phone (682) 225-3075

700 Walter Reed Blvd
Ste 209
Garland, TX 75042
Phone (972) 494-3657

1600 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 424-5350

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

1650 W College St
Ste 185
Grapevine, TX 76051
Phone (817) 481-1588

5236 W University Dr
Ste 2800
McKinney, TX 75071
Phone (469) 764-4105

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4708 Alliance Blvd
Ste 870
Plano, TX 75093
Phone (469) 361-2511

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2460 N Interstate Highway 35 E
Ste 230
Waxahachie, TX 75165
Phone (469) 764-4105

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740260728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 FAIRWAY DR",
            "address_2": "SUITE 400",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184204",
            "telephone_number": "561-712-6265",
            "fax_number": "561-712-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 ALPHA RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444404",
            "telephone_number": "972-404-9345",
            "fax_number": "972-404-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L2124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.