Organization Active NPI

Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1750845863
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SIGNIFY HEALTH MEDICAL ASSOCIATES, PLLC
Practice address
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Phone
(972) 715-3800
NPI assigned
Jan 23, 2019
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Robert Shawn Bronke
Title
Manager, Provider Enrollment
Phone
(469) 909-6746

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
General Practice Physician 208D00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

4055 Valley View LN Ste 700
Dallas, TX 75244-5045

Mailing address

4055 Valley View LN Ste 700
Dallas, TX 75244-5045

Other practice location 1

270 Bellevue Ave
Newport, RI 02840-3516
Phone (877) 868-5351

Other practice location 2

6040 California Ave SW
Seattle, WA 98136-1684
Phone (877) 868-5351

Other practice location 3

2413 E Pike St
Clarksburg, WV 26301-9117
Phone (877) 868-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO, TX, MT, AR, NC, NV, MD, WI, WV, FL, SC, PA, IA, SD, TN, OR, KY, WA, CT, DC, GA, MN, VT, MA, NH, RI, ID, UT, DE, ND, MS, ME, NE, MI35 enrollments

Enrollment records 35

Enrollment IDStateProvider typePAC IDDetails
O20190507001451 IL Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 715 practitioners
Practice locations: Chicago, IL
O20190517001824 CO Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 334 practitioners
Practice locations: Denver, CO
O20190520001486 TX Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 1,192 practitioners
Practice locations: Dallas, TX
O20190828001034 MT Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 88 practitioners
Practice locations: Missoula, MT
O20190913002365 AR Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 337 practitioners
Practice locations: Bentonville, AR
O20191001003503 NC Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 840 practitioners
Practice locations: Raleigh, NC
O20191002002008 NV Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 205 practitioners
Practice locations: Carson City, NV
O20191003001442 MD Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 237 practitioners
Practice locations: Annapolis, MD
O20191118000551 WI Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 328 practitioners
Practice locations: Madison, WI
O20191206001144 WV Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 245 practitioners
Practice locations: Charleston, WV
O20191209002247 FL Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 109 practitioners
Practice locations: Jacksonville, FL
O20191209002986 SC Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 327 practitioners
Practice locations: Columbia, SC
O20191216001523 PA Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 629 practitioners
Practice locations: Philadelphia, PA
O20191217001453 IA Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 217 practitioners
Practice locations: Des Moines, IA
O20191218003251 SD Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 46 practitioners
Practice locations: Pierre, SD
O20191218003345 TN Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 505 practitioners
Practice locations: Knoxville, TN
O20191220002077 OR Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 191 practitioners
Practice locations: Salem, OR
O20191227001730 KY Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 26 practitioners
Practice locations: Frankfort, KY
O20191230002111 WA Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 300 practitioners
Practice locations: Olympia, WA
O20200114001048 CT Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 173 practitioners
Practice locations: Rocky Hill, CT
O20200115000070 DC Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 77 practitioners
Practice locations: Washington, DC
O20200115001292 GA Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 490 practitioners
Practice locations: Lawrenceville, GA
O20200116002549 MN Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 169 practitioners
Practice locations: Saint Paul, MN
O20200116002773 VT Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 1 practitioner
Practice locations: Jeffersonville, VT
O20200204002341 MA Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 229 practitioners
Practice locations: Boston, MA
O20200205000396 NH Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 64 practitioners
Practice locations: Concord, NH
O20200205001032 RI Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 35 practitioners
Practice locations: Newport, RI
O20200210000545 ID Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 2 practitioners
Practice locations: Boise, ID
O20200210001149 UT Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 3 practitioners
Practice locations: Midvale, UT
O20200226000011 DE Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 3 practitioners
Practice locations: Wilmington, DE
O20200303000565 ND Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 32 practitioners
Practice locations: Bismarck, ND
O20200331000813 MS Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 7 practitioners
Practice locations: Flowood, MS
O20200403000094 ME Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 4 practitioners
Practice locations: Augusta, ME
O20201214003096 NE Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 117 practitioners
Practice locations: Omaha, NE
O20210405000855 MI Part B Supplier - Clinic/Group Practice 2163764424 Receives reassigned benefits from 726 practitioners
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

150 W Market St
Ste 800
Indianapolis, IN 46204
Phone (857) 706-4907

128 State St
#3
Augusta, ME 04330

120 W Sweet Ave
Ste 400
Bismarck, ND 58504

287 Park Ave S
Fl 3
New York, NY 10010
Phone (917) 410-7931

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

4055 Valley View Ln
Ste 200
Dallas, TX 75244

4055 Valley View Ln
Ste 600
Dallas, TX 75244

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

6040 California Ave SW
Seattle, WA 98136

Practitioners & affiliated clinicians

Practitioners 7,447

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 7,447

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1750845863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445045",
            "telephone_number": "972-715-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028403516",
            "country_code": "US",
            "telephone_number": "877-868-5351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981361684",
            "country_code": "US",
            "telephone_number": "877-868-5351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2413 E Pike St",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263019117",
            "country_code": "US",
            "telephone_number": "877-868-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNIFY HEALTH MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BRONKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "469-909-6746"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.