Individual provider Active NPI

Bryn Elise Bumpass

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1740851633
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA14705 Issued in TX
Practice address
8210 Walnut Hill LN Ste 130
Dallas, TX 75231-4418
Phone
(214) 750-1207
Fax
(214) 750-8504
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA14705 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN Ste 130
Dallas, TX 75231-4418

Mailing address

8210 Walnut Hill LN Ste 130
Dallas, TX 75231-4418
Phone (214) 750-1207

Other practice location 1

6020 W Parker Rd Ste 240
Plano, TX 75093-0004
Phone (972) 378-1438

Other names 1

  • Bryn Elise Jensen Former name

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
I20210720004059 TX Practitioner - Physician Assistant 7618370263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

8210 Walnut Hill LN
Suite 130
Dallas, TX 75231-4418
Phone (214) 750-1207

9301 N Central Expy
Suite 451
Dallas, TX 75231-0832
Phone (214) 220-2468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Jun 29, 2021 Accepting new patients
Ortholonestar, PLLC CurrentSince Jun 29, 2021 Accepting new patients
Ortholonestar, PLLC Past Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

8210 Walnut Hill Ln
Ste 130
Dallas, TX 75231
Phone (214) 750-1207

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

6020 W Parker Rd
Ste 240
Plano, TX 75093
Phone (972) 378-1434

Interoperability endpoints

  • Direct secure messaging: bryn.jensen.1@15533.direct.athenahealth.com

Organizations & group practices 3

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1740851633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314418",
            "telephone_number": "214-750-1207",
            "fax_number": "214-750-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314418",
            "telephone_number": "214-750-1207",
            "fax_number": "214-750-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6020 W Parker Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750930004",
            "country_code": "US",
            "telephone_number": "972-378-1438",
            "fax_number": "972-378-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMPASS",
        "first_name": "BRYN",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA14705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYN",
            "last_name": "JENSEN",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.