Individual provider Active NPI

Phuc Thanh Nguyen, DO

  • Nephrology Physician
  • Burleson, TX
National Provider Identifier
1881798270
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M0841 Issued in TX
Practice address
265 SE John Jones Dr Ste 102
Burleson, TX 76028-8356
Phone
(817) 877-5858
NPI assigned
Sep 7, 2006
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0841 TX
Internal Medicine Physician 207R00000X 2021-03447 NC
Nephrology Physician 207RN0300X M0841 TX Primary

Addresses

Primary practice location

265 SE John Jones Dr Ste 102
Burleson, TX 76028-8356

Mailing address

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 877-5858

Other practice location 1

1001 Pennsylvania Avenue
Fort Worth, TX 76104-3029
Phone (817) 877-5858

Other practice location 2

12201 Bear Plz
Burleson, TX 76028-0285
Phone (817) 877-5858

Other identifiers 1

IdentifierTypeStateIssuer
188082505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, AR, NM, VA, KS, OH, MT, AL, FL, NC, MO12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20070223000250 TX Practitioner - NephrologyPractitioner - Internal Medicine 2961504857 Reassigns benefits to 3 organizations
I20230703000831 IN Practitioner - Internal MedicinePractitioner - Nephrology 2961504857 Reassigns benefits to 1 organization
I20241120003913 AR Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20241120004177 NM Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20241226000201 VA Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20250307003392 KS Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20250320000463 OH Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20250326002573 MT Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20250402002874 AL Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20250617004314 FL Practitioner - Internal Medicine 2961504857 Reassigns benefits to 1 organization
I20260120003972 NC Practitioner - Nephrology 2961504857 Reassigns benefits to 1 organization
I20260615000978 MO Practitioner - Nephrology 2961504857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians
PPG Health PAGroup PAC ID 7113904657, 32 clinicians
Ap US 14 PAGroup PAC ID 5698185908, 27 clinicians

Practice addresses (Care Compare)

MC Lean, VA 22101
Phone (972) 449-0450

Richlands, VA 24641
Phone (972) 449-0540

Mountain BRK, AL 35223
Phone (972) 449-0540

Red Lodge, MT 59068
Phone (972) 449-0540

Saint Louis, MO 63110
Phone (972) 449-0540

Arlington, TX 76005
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701

1350 S Main St
Suite 3200
Fort Worth, TX 76104-7669
Phone (817) 702-8400

1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701

1500 S Main St
Fort Worth, TX 76104-4917

1500 S Main St FL
1 Urgent Care Center
Fort Worth, TX 76104-4917
Phone (817) 702-1451

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

208 Sologne CT
Little Rock, AR 72223-8915
Phone (972) 449-0540

2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (972) 449-0540

265 SE John Jones Dr
Suite 102
Burleson, TX 76028-8356
Phone (817) 725-7880

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (972) 449-0540

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (972) 449-0540

3201 W
Suite 22
Corsicana, TX 75110-2450
Phone (972) 449-0540

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (972) 449-0540

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (972) 449-0540

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (972) 449-0540

5900 College Rd
Key West, FL 33040-4342
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-03447NCMDInternal Medicine Physician
M0841TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Hospital LLC CurrentSince Mar 31, 2025 Accepting new patients
PPG Health, PA Internal Medicine CurrentSince Feb 24, 2014 Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Ap US 14, PA Internal Medicine CurrentSince Feb 26, 2025 Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients
Columbia Plaza Medical Center of Fort Worth Subsidiary LP Past Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

725 N Industrial Blvd
Ste A
Bedford, TX 76021
Phone (817) 725-7900

11797 South Fwy
Ste 226
Burleson, TX 76028
Phone (817) 293-2272

12201 Bear Plz
Burleson, TX 76028
Phone (817) 293-1978

265 SE John Jones Dr
Ste 102
Burleson, TX 76028
Phone (817) 284-9225

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1000 W Cannon St
Ft Worth, TX 76104
Phone (817) 725-7900

1001 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 618-9997

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 292-4900

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

504 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 594-2832

Interoperability endpoints

  • Direct secure messaging: phuc.nguyen.1@27538.direct.athenahealth.com
  • Direct secure messaging: vrhpnguye@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1881798270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SE JOHN JONES DR STE 102",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288356",
            "telephone_number": "817-877-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Pennsylvania Avenue",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043029",
            "country_code": "US",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12201 Bear Plz",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760280285",
            "country_code": "US",
            "telephone_number": "817-877-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUC",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0841",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-03447",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M0841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188082505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.