Individual provider Active NPI

James R Bohnsack, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1821041914
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023022916 Issued in MO
Practice address
969 Commerce St Apt 1501
Fort Worth, TX 76102-5414
Phone
(817) 505-9707
NPI assigned
May 18, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023022916 MO Primary

Addresses

Primary practice location

969 Commerce St Apt 1501
Fort Worth, TX 76102-5414

Mailing address

969 Commerce St Apt 1501
Fort Worth, TX 76102-5414
Phone (817) 505-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023022916MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Family Practice Associates Family Medicine Past Accepting new patients
Strategic Medical Group TX PLLC Family Medicine Past Accepting new patients

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, 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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1821041914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 COMMERCE ST APT 1501",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025414",
            "telephone_number": "817-505-9707",
            "fax_number": "817-263-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 COMMERCE ST APT 1501",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025414",
            "telephone_number": "817-505-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNSACK",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023022916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.