Individual provider Active NPI

Brian Wesley Tulbert, D.O.

  • Emergency Medicine Physician
  • Burleson, TX
National Provider Identifier
1740453778
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P7587 Issued in TX
Practice address
11801 South Fwy
Burleson, TX 76028-7021
Phone
(817) 568-5391
NPI assigned
Apr 10, 2008
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P7587 TX Primary

Addresses

Primary practice location

11801 South Fwy
Burleson, TX 76028-7021

Mailing address

11801 South Fwy
Burleson, TX 76028-7021
Phone (817) 568-5391

Other practice location 1

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 433-1260

Other practice location 2

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-7199

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
I20130920000274 TX Practitioner - Emergency Medicine 6406049873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians
Texas Physician Resources, LLPGroup PAC ID 7012161375, 91 clinicians

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-2000

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7587TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huguley Emergency Physicians, LLP CurrentSince Aug 1, 2013 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Aug 15, 2013 Accepting new patients
Willis Knighton Medical Center, Inc. WK Emergency Dept Group Emergency Medicine Past Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

Organizations & group practices 4

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 5

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1740453778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 SOUTH FWY",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287021",
            "telephone_number": "817-568-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SOUTH FWY",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287021",
            "telephone_number": "817-568-5391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Harris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761324101",
            "country_code": "US",
            "telephone_number": "817-433-1260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635899",
            "country_code": "US",
            "telephone_number": "682-622-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULBERT",
        "first_name": "BRIAN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P7587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.