Bristol Advanced Illness Management - North Central Texas PLLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

BRISTOL ADVANCED ILLNESS MANAGEMENT - NORTH CENTRAL TEXAS PLLC

Practice address

1905 N Highway 77 Ste 220
Waxahachie, TX 75165-7916

Phone

(469) 553-0750

Fax

(469) 466-6317

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Weylon Drain, MD

Title

Sole Member

Phone

(972) 923-2436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1881347524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N HIGHWAY 77 STE 220",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657916",
            "telephone_number": "469-553-0750",
            "fax_number": "469-466-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N HIGHWAY 77 STE 220",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657916",
            "telephone_number": "469-553-0750",
            "fax_number": "469-466-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL ADVANCED ILLNESS MANAGEMENT - NORTH CENTRAL TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "DRAIN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "WEYLON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "972-923-2436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Cowley Brady, M.D.
• Natasha Anastasia Braley, A-GNP-C
• Matthew Parker Branch, MD
• Angela Brandt
• Claire Marie Bridgford, PT
• Bristol Hospice - Pathways LLC (Bristol Hospice - North Central Texas)
• Jessica Bristow, PT, DPT
• Trisha Danielle Broadright, LPC
• Christopher Michael Broadway, M.D.
• Brookdale Senior Living Communities, Inc. (Sterling House of Waxahachie)

• Hospice and Palliative Medicine (Internal Medicine) Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.