Individual provider Active NPI

Brian James Meusborn, MPAS, PA-C

  • Physician Assistant
  • Flower Mound, TX
National Provider Identifier
1881001766
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10164 Issued in TX
Practice address
4951 Long Prairie Rd Ste 120
Flower Mound, TX 75028-2709
Phone
(972) 691-9190
Fax
(972) 691-3841
NPI assigned
Jul 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10164 TX Primary
Medical Physician Assistant 363AM0700X 2014023862 MO

Addresses

Primary practice location

4951 Long Prairie Rd Ste 120
Flower Mound, TX 75028-2709

Mailing address

4951 Long Prairie Rd Ste 120
Flower Mound, TX 75028-2709
Phone (972) 691-9190

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014001519 TX Practitioner - Physician Assistant 4688892359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

251 Westpark Way
Suite 212
Euless, TX 76040-3707
Phone (214) 570-2319

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

4951 Long Prairie Rd
Suite 120
Flower Mound, TX 75028-2709
Phone (972) 691-9190

5401 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2212
Phone (972) 691-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10164TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 18, 2015 Accepting new patients
Jawad a Qureshi MD PA Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: bmeusborn1356276@direct.texashealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1881001766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE RD STE 120",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282709",
            "telephone_number": "972-691-9190",
            "fax_number": "972-691-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE RD STE 120",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282709",
            "telephone_number": "972-691-9190",
            "fax_number": "972-691-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUSBORN",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-12",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10164",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2014023862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.