Theodore Bryan Gupton Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

Q2900 Issued in TX

Practice address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Phone

(817) 321-0404

NPI assigned

Sep 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Texas Medical School at San Antonio, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Texas Health Heart & Vascular Hospital Arlington Hospital, Arlington, TX, CCN 670071
• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgupton33437@cookchildrens.direct-ci.com
• Direct secure messaging: tgupton355263@ahs.direct-ci.com

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.

• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment Care Compare group NPD
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1164829214
  Medicare reassignment NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739
  Medicare reassignment
• North Star FP, LP

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835
  Medicare reassignment
• North Star MCD, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602
  Medicare reassignment
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1144550369

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • McKinney, TX
  • NPI 1215359401

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Allen, TX
  • NPI 1265762470

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Denton, TX
  • NPI 1417414822

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Frisco, TX
  • NPI 1457681678

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1548590524

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1649753716

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amh Cath Labs LLC

  • Special Hospital
  • Arlington, TX
  • NPI 1407169196
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation
• Texas Health Arlington Memorial Hospital

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1174533343
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Weatherford Health Services, LLC

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1790019347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTON",
        "first_name": "THEODORE",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "Q2900",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Gunter, FNP
• Amber Lijia Guo
• Ao Guo, DO
• Lin Guo
• Abimbola Guobadia
• Monjit S Guram, DDS
• Kara C Gurley, MA
• Nicholas Troy Gurney, MD
• Gurpreet S. Bajaj, M.D., P.a.
• Marcos Gushue

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.