Midlothian Medical & Sports Center, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIDLOTHIAN MEDICAL & SPORTS CENTER, PLLC

Practice address

460 S. 14TH Street
Midlothian, TX 76065

Phone

(972) 723-1155

Fax

(972) 723-1111

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Brad Wesley CollinsNPI 1871549154

Title

Owner

Phone

(972) 723-1155

Specialties & licenses 4

Addresses

Other names 1

• Midlothian Medical and Sports Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brad Wesley Collins, D.C.

  • Chiropractor
  • Midlothian, TX
  • NPI 1871549154
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Elizabeth Johnson, FNP-C

  • Family Nurse Practitioner
  • Midlothian, TX
  • NPI 1215426168
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1841991346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 S. 14TH STREET",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "76065",
            "telephone_number": "972-723-1155",
            "fax_number": "972-723-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S. 14TH STREET",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "76065",
            "telephone_number": "972-723-1155",
            "fax_number": "972-723-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN MEDICAL & SPORTS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-723-1155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midlothian Medical and Sports Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Michaels
• Midlothian Chiropractic & Therapy, PLLC
• Midlothian Eye Care
• Midlothian Family Medicine Clinic
• Midlothian Isd
• Midlothian Pharmacy Compounding & Prescription LLC
• Midlothian Vision Associates, PLLC
• Midtown 2013 Re, LLC
• Mighty Men of Valor Limited Liability Company
• Meredith Kate Milke, RD, LD

• General Practice Physician in Midlothian, TX
• Providers in Midlothian, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.