Organization Active NPI

Brian J Gengler, MD PLLC

Doing business as Brian J Gengler, MD

  • Orthopaedic Surgery of the Spine Physician
  • Burleson, TX
National Provider Identifier
1841943701
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
BRIAN J GENGLER, MD PLLC
Doing business as
Brian J Gengler, MD
Practice address
215 Old Highway 1187
Burleson, TX 76028-0281
Phone
(817) 926-2663
Fax
(817) 293-8860
NPI assigned
Feb 1, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Kayla Smith
Title
Credentialing Specialist
Phone
(817) 926-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

215 Old Highway 1187
Burleson, TX 76028-0281

Mailing address

215 Old Highway 1187
Burleson, TX 76028-0281
Phone (817) 926-2663

Other practice location 1

167 Regency Pkwy
Ste 103
Mansfield, TX 76063
Phone (817) 926-2663

Other practice location 2

4311 Andrews Hwy
Midland, TX 79703-4823
Phone (817) 926-2663

Other practice location 3

300 Fm 407 E Ste 200
Argyle, TX 76226-5914
Phone (817) 926-2663

Other practice location 4

929 Lipscomb St
Fort Worth, TX 76104-3173
Phone (817) 926-2663

Other names 1

  • Brian J Gengler, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220524002357 TX Part B Supplier - Clinic/Group Practice 1759768104 Receives reassigned benefits from 1 practitioner
Practice locations: Argyle, TX; Midland, TX; Mansfield, TX; Burleson, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

215 Old Highway 1187
Burleson, TX 76028
Phone 8179262663118

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1841943701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD HIGHWAY 1187",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280281",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD HIGHWAY 1187",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760280281",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Regency Pkwy",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "76063",
            "country_code": "US",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4311 Andrews Hwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797034823",
            "country_code": "US",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Fm 407 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762265914",
            "country_code": "US",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 Lipscomb St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043173",
            "country_code": "US",
            "telephone_number": "817-926-2663",
            "fax_number": "817-293-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIAN J GENGLER, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "817-926-2663"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian J Gengler, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brian J Gengler, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.