Individual provider Active NPI

Matthew Gorman Stine, DO

  • Family Medicine Physician
  • Aledo, TX
National Provider Identifier
1871770164
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9034 Issued in TX
Practice address
260 Willow Bend Dr
Aledo, TX 76008-1276
Phone
(817) 441-9252
Fax
(817) 441-9282
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 M9034 TX Primary

Addresses

Primary practice location

260 Willow Bend Dr
Aledo, TX 76008-1276

Mailing address

260 Willow Bend Dr
Aledo, TX 76008-1276
Phone (817) 441-9252

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
I20090803000170 TX Practitioner - Family Practice 1951454321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

260 Willow Bend Dr
Aledo, TX 76008-1188

260 Willow Bend Dr
Medical Associates at Willow Park
Aledo, TX 76008-1276
Phone (817) 441-9252

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shaun Kretzschmar DO PA Family Medicine Current Accepting new patients
Matthew G. Stine, D.O., P.a. Family Medicine CurrentSince Jan 25, 2016 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

260 Willow Bend Dr
Willow Park, TX 76008
Phone (817) 441-2555

Interoperability endpoints

  • Direct secure messaging: matthewstine@afmw.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1871770164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WILLOW BEND DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081276",
            "telephone_number": "817-441-9252",
            "fax_number": "817-441-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WILLOW BEND DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081276",
            "telephone_number": "817-441-9252",
            "fax_number": "817-441-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "MATTHEW",
        "middle_name": "GORMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

Verify at the official NPI Registry.