NPIMap

Individual provider Active NPI

Uzoma Ben Gbulie, MBBS

  • Plastic and Reconstructive Surgery Physician
  • Mansfield, TX
National Provider Identifier
1851509145
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
R3677 Issued in TX
Practice address
1021 Matlock Rd Ste 103
Mansfield, TX 76063-3443
Phone
(682) 400-2152
Fax
(817) 377-6568
NPI assigned
May 18, 2007
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R3677 TX
Plastic and Reconstructive Surgery Physician 2086S0122X R3677 TX Primary

Addresses

Primary practice location

1021 Matlock Rd Ste 103
Mansfield, TX 76063-3443

Mailing address

PO Box 961205
Fort Worth, TX 76161-0205
Phone (817) 740-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171209000031 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 1153419163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huguley Medical Associates, IncGroup PAC ID 2668562471, 50 clinicians

Practice addresses (Care Compare)

1021 Matlock Rd
Suite 103
Mansfield, TX 76063-6567
Phone (682) 400-2152

167 Regency Pkwy
Suite 101
Mansfield, TX 76063-6660
Phone (682) 400-2152

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
74.14
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network CurrentSince Oct 1, 2019 Accepting new patients
Huguley Medical Associates CurrentSince May 7, 2019 Accepting new patients
Posh Plastic and Reconstructive Surgery PLLC Plastic and Reconstructive Surgery CurrentSince Nov 9, 2020 Accepting new patients
Cook Children's Physician Network CurrentSince Oct 1, 2019 Accepting new patients

Locations

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1021 Matlock Rd
Ste 103
Mansfield, TX 76063
Phone (682) 400-2152

167 Regency Pkwy
Ste 101
Mansfield, TX 76063

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 7

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1851509145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761610205",
            "telephone_number": "817-740-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MATLOCK RD STE 103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633443",
            "telephone_number": "682-400-2152",
            "fax_number": "817-377-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBULIE",
        "first_name": "UZOMA",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R3677",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R3677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.