Individual provider Active NPI

Paul B Bourland, NP-C

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1790101624
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
593693 Issued in TX
Practice address
4545 Fuller Dr Ste 325
Irving, TX 75038-6530
Phone
(972) 870-5511
Fax
(972) 870-5512
NPI assigned
Mar 17, 2014
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 593693 TX Primary

Addresses

Primary practice location

4545 Fuller Dr Ste 325
Irving, TX 75038-6530

Mailing address

6900 Harris Pkwy
Suite 300
Ft Worth, TX 76132-4255
Phone (817) 292-8585

Other practice location 1

6900 Harris Pkwy
Suite 300
Ft Worth, TX 76132-4255
Phone (817) 292-8585

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
I20141229000123 TX Practitioner - Nurse Practitioner 0446573489 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health and Therapy CentersGroup PAC ID 7517338221, 12 clinicians

Practice addresses (Care Compare)

5521 Bellaire Dr S
Suite 110
Fort Worth, TX 76109-5855
Phone (817) 926-9642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
593693TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health and Therapy Centers CurrentSince Jul 1, 2025 Accepting new patients
Iah of Texas, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Sep 1, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Sep 1, 2020 Accepting new patients
Global Open Wound Care PLLC Family CurrentSince Jul 16, 2024 Accepting new patients
Global Open Wound Care Services LLC Family CurrentSince Jan 26, 2025 Accepting new patients
Oakwood Medical Services, PLLC Past Accepting new patients

Locations

1301 W 7th St
Ste 121
Ft Worth, TX 76102
Phone (817) 348-0425

5521 Bellaire Dr S
Ste 110
Ft Worth, TX 76109
Phone (817) 926-9642

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1790101624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 HARRIS PKWY",
            "address_2": "SUITE 300",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761324255",
            "telephone_number": "817-292-8585",
            "fax_number": "855-810-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR STE 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "972-870-5511",
            "fax_number": "972-870-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Harris Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761324255",
            "country_code": "US",
            "telephone_number": "817-292-8585",
            "fax_number": "855-810-8998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURLAND",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "593693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.