Bridlewood Family Healthcare, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BRIDLEWOOD FAMILY HEALTHCARE, P.A.

Practice address

3400 Long Prairie Road
Suite 200
Flower Mound, TX 75022-2706

Phone

(972) 899-6300

Fax

(972) 899-6020

NPI assigned

Apr 26, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian D Glaser, D.O.NPI 1083672067

Title

Owner

Phone

(972) 899-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Dale Glaser, D.O.

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1083672067
  Medicare reassignment Care Compare group NPD Authorized official
• Mariam Alwani

  • Gerontology Nurse Practitioner
  • Flower Mound, TX
  • NPI 1437026572
  Medicare reassignment Care Compare group NPD
• Lahri Kancharla, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1124385471
  Medicare reassignment Care Compare group NPD
• Bijal Patel, FNP

  • Family Medicine Physician
  • Double Oak, TX
  • NPI 1134755838
  Medicare reassignment Care Compare group NPD
• Victoria Vaughn Thomas, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1124412770
  Medicare reassignment Care Compare group NPD
• Caroline Ryan Woodruff

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1942014402
  Medicare reassignment Care Compare group NPD
• Michele Hampton, PA

  • Physician Assistant
  • Flower Mound, TX
  • NPI 1508886151
  Medicare reassignment Care Compare group
• Heather Dawn Darwin, FNP

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1841762861
  Medicare reassignment NPD
• Kelly Monica Lee, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Azle, TX
  • NPI 1568856730
  Medicare reassignment NPD
• Paul Jaw-Shyang Lee, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1710075239
  Medicare reassignment NPD
• Whitney Seeber, NP

  • Family Nurse Practitioner
  • Double Oak, TX
  • NPI 1346834967
  Medicare reassignment NPD
• Courtenay Traverse, NP

  • Family Nurse Practitioner
  • Denton, TX
  • NPI 1508458720
  Medicare reassignment NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821218652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LONG PRAIRIE ROAD",
            "address_2": "SUITE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-899-6300",
            "fax_number": "972-899-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LONG PRAIRIE ROAD",
            "address_2": "SUITE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-899-6300",
            "fax_number": "972-899-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDLEWOOD FAMILY HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-899-6300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Brent, DPT
• Alexis Brewer, RBT
• Briarwood Nursing Centers, L.L.C
• Bricolage Behavioral Health, LLC
• Bridges Healthcare
• Brilliant Creations Counseling PLLC
• Freddie Brim
• Bristol Pharmacy LLC (Bristol Pharmacy)
• Anna Janelle Denooyer Broadnax, MD
• Brittni Nicole Broca

• Primary Care Clinic/Center in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.