Active NPI
BC Diagnostics
- Physiological Laboratory
- Flower Mound, TX
National Provider Identifier
1801434329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- BC DIAGNOSTICS
- Practice address
- 905 Oak Dr
Flower Mound, TX 75028-1414 - Phone
- (817) 805-4001
- NPI assigned
- Dec 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Holbert
- Title
- Owner
- Phone
- (228) 209-3371
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| EEG Specialist/Technologist | 246ZE0500X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
905 Oak Dr
Flower Mound, TX 75028-1414
Mailing address
905 Oak Dr
Flower Mound, TX 75028-1414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bcdiagnostics.com |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1801434329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 OAK DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 OAK DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281414",
"telephone_number": "817-805-4001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BC DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "HOLBERT",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-209-3371"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bcdiagnostics.com",
"affiliation": "N",
"address_1": "905 Oak Dr",
"city": "Flower Mound",
"state": "TX",
"country_code": "US",
"postal_code": "750281414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.