Marc Gary Bauer, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9622 Issued in TX

Practice address

821 N Coleman St
Suite #100
Prosper, TX 75078-2303

Phone

(469) 800-5200

Fax

(469) 800-5210

NPI assigned

Jul 4, 2006

Last updated

Dec 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbauer225690@direct.sw.org

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.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• Legacy Urgent Care, PA

  • Urgent Care Clinic/Center
  • Frisco, TX
  • NPI 1568622272
  Medicare reassignment NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1427054402
  NPD
• Topcare Medical PA

  dba Clinicas Mi Doctor

  • Specialist
  • Irving, TX
  • NPI 1043231400
  NPD
• DFW 501a Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Carrollton, TX
  • NPI 1881665412
  NPD (past)
• Innovative Emergency Medicine PA

  • Emergency Medicine Physician
  • Frisco, TX
  • NPI 1740239763
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Corsicana, TX
  • NPI 1124065735
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1861422685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST",
            "address_2": "SUITE #100",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782303",
            "telephone_number": "469-800-5200",
            "fax_number": "469-800-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COLEMAN ST",
            "address_2": "SUITE #100",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782303",
            "telephone_number": "469-800-5200",
            "fax_number": "469-800-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MARC",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0775764",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135319516",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jahmad Malik Banks
• Kristina Ann Barker, RPH
• Christina Nicole Barrera
• Kecia Bass
• Amy Batjer
• Kathryn Baugh
• Lorianne Michelle Baugh
• Amy Baum-Jones, PA
• Jackson Behrens
• Belay on Autism Services

• Family Medicine Physician in Prosper, TX
• Providers in Prosper, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.