Individual provider Active NPI

Paul Anthony Bednarz, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Waco, TX
National Provider Identifier
1760476337
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
P8578 Issued in TX
Practice address
5100 Franklin Ave
Waco, TX 76710-6922
Phone
(254) 313-9559
Fax
(254) 522-7964
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X P8578 TX Primary

Addresses

Primary practice location

5100 Franklin Ave
Waco, TX 76710-6922

Mailing address

5100 Franklin Ave
Waco, TX 76710-6922
Phone (254) 313-9559

Other practice location 1

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 313-9559

Other identifiers 1

IdentifierTypeStateIssuer
8913078MedicaidNC

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
I20141020000587 TX Practitioner - Orthopedic Surgery 1557400249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5100 Franklin Ave
Waco, TX 76710-6922
Phone (254) 313-9559

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101
  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8578TXMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Orthopaedic Foot and Ankle Center, PLLC Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

5100 Franklin Ave
Waco, TX 76710
Phone (254) 313-9559

7125 Sanger Rd
Ste 502
Woodway, TX 76712
Phone (254) 732-2224

Organizations & group practices 2

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 2

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1760476337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 FRANKLIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106922",
            "telephone_number": "254-313-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 FRANKLIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106922",
            "telephone_number": "254-313-9559",
            "fax_number": "254-522-7964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gatesville",
            "state": "TX",
            "postal_code": "765281024",
            "country_code": "US",
            "telephone_number": "254-313-9559",
            "fax_number": "254-522-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDNARZ",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "P8578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.