Individual provider Active NPI

Randal Lane Brown, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1831167956
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7668 Issued in TX
Practice address
6100 Harris Pkwy
1240
Fort Worth, TX 76132-4101
Phone
(817) 433-5155
Fax
(817) 433-5177
NPI assigned
Mar 14, 2006
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 K7668 TX Primary

Addresses

Primary practice location

6100 Harris Pkwy
1240
Fort Worth, TX 76132-4101

Mailing address

6100 Harris Pkwy Ste 1240
Fort Worth, TX 76132-4248
Phone (817) 433-5155

Other identifiers 4

IdentifierTypeStateIssuer
043084505MedicaidTX
0068LMOtherTXBCBS
133644810MedicaidTX
8U1322OtherTXBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001439 TX Practitioner - Family Practice 4688657174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

2600 S Douglas Rd
Suite 308
Coral Gables, FL 33134-6134

4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone (817) 985-7772

6100 Harris Pkwy
Suite 1240
Fort Worth, TX 76132-4248
Phone (817) 789-6333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7668TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Medical Group TX PLLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
W Brian Byrd MD PA Family Medicine CurrentSince Mar 1, 2008 Accepting new patients
Medhealth Past Accepting new patients
Medhealth Family Medicine Past Accepting new patients

Locations

4160 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 379-5511

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

800 8th Ave
Ste 626
Fort Worth, TX 76104
Phone (817) 243-7995

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

4045 E Belknap St
Haltom City, TX 76111
Phone (682) 707-9400

Interoperability endpoints

  • Direct secure messaging: randal.brown@txfmed.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1831167956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 1240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324248",
            "telephone_number": "817-433-5155",
            "fax_number": "817-433-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "1240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-433-5155",
            "fax_number": "817-433-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RANDAL",
        "middle_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043084505",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0068LM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133644810",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U1322",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.