Individual provider Active NPI

Bartley David Mitchell, MD

  • Neurological Surgery Physician
  • Dallas, TX
National Provider Identifier
1750613709
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME121930 Issued in FL
Practice address
1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259
Phone
(214) 948-2076
Fax
(214) 948-9990
NPI assigned
Feb 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME121930 FL Primary

Addresses

Primary practice location

1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259

Mailing address

1411 N Beckley Ave
Pavilion III, Suite 152
Dallas, TX 75203-1259
Phone (214) 948-2076

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
I20170203002244 TX Practitioner - Neurosurgery 7416278874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1411 N Beckley Ave
Suite 152
Dallas, TX 75203-1586
Phone (214) 948-2076

Hospital & facility affiliations

  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion29
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121930FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 15, 2016 Accepting new patients
Medhealth CurrentSince Aug 15, 2016 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Columbia Medical Center of McKinney Subsidiary LP Past Accepting new patients
Baptist Neurology Inc PastSince Jul 1, 2015 Accepting new patients

Locations

1411 N Beckley Ave
Ste 152
Dallas, TX 75203
Phone 2149487700208

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

4116 S Carrier Pkwy
Ste 250
Grand Prairie, TX 75052
Phone (972) 263-5272

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2821 E President George Bush Hwy
Ste 304
Richardson, TX 75082
Phone (214) 377-9232

2821 George Bush Hwy
Richardson, TX 75082
Phone (972) 231-9361

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: bmitchell14614@dm.mhd.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1750613709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, SUITE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-948-2076",
            "fax_number": "214-948-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, SUITE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-948-2076",
            "fax_number": "214-948-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BARTLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME121930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.