NPIMap

Organization Active NPI

Dallas Bone and Joint Clinic Association

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1881607315
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E3862 Issued in TX
Legal business name
DALLAS BONE AND JOINT CLINIC ASSOCIATION
Practice address
9330 Poppy Dr Ste 300
Dallas, TX 75218-4624
Phone
(214) 324-2471
Fax
(214) 324-1734
NPI assigned
Aug 14, 2006
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. James Gordon Brooks Jr., MDNPI 1861405391
Title
Director/Trustee
Phone
(214) 324-2471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E3862 TX Primary

Addresses

Primary practice location

9330 Poppy Dr Ste 300
Dallas, TX 75218-4624

Mailing address

9330 Poppy Dr Ste 300
Dallas, TX 75218-4624
Phone (214) 324-2471

Other identifiers 4

IdentifierTypeStateIssuer
083314701MedicaidTX
5128037OtherTXAETNA
CS5263OtherTXRAILROAD MEDICARE
00JH40OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050714000653 TX Part B Supplier - Clinic/Group Practice 7214963883 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20100930052172 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7214963883 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1881607315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184624",
            "telephone_number": "214-324-2471",
            "fax_number": "214-324-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184624",
            "telephone_number": "214-324-2471",
            "fax_number": "214-324-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS BONE AND JOINT CLINIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "DIRECTOR/TRUSTEE",
        "authorized_official_telephone_number": "214-324-2471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E3862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083314701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5128037",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS5263",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JH40",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.