Individual provider Active NPI

Bryan Haney Molen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mansfield, TX
National Provider Identifier
1902131774
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002340 Issued in MI
Practice address
305 Regency Pkwy Ste 801
Mansfield, TX 76063-3794
Phone
(682) 223-2400
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002340 MI Primary

Addresses

Primary practice location

305 Regency Pkwy Ste 801
Mansfield, TX 76063-3794

Mailing address

1759 Broad Park Cir S Ste 205
Mansfield, TX 76063-7834
Phone (682) 223-2400

Other practice location 1

1759 Broad Park Cir S Ste 205
Mansfield, TX 76063-7834
Phone (682) 223-2400

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000423 TX Practitioner - Podiatry 0749447191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 Regency Pkwy
Suite 801
Mansfield, TX 76063-3794
Phone (682) 223-2400

Hospital & facility affiliations

  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue22
Removal of skin lesions25
Removal of nail tissue185
Removal or shaving of skin growth111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
B&BM Investments PLLC CurrentSince Mar 1, 2020 Accepting new patients
B&BM Investments PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2020 Accepting new patients

Locations

305 Regency Pkwy
Ste 801
Mansfield, TX 76063
Phone (682) 223-2400

1759 Broad Park Cir S
Ste 205
Mansfield, TX 76063
Phone (682) 223-2400

Interoperability endpoints

  • Direct secure messaging: drmolen@pfaacp-tx.direct.office.nextgen.com

Organizations & group practices 2

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 1

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1902131774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIR S STE 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637834",
            "telephone_number": "682-223-2400",
            "fax_number": "682-207-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 REGENCY PKWY STE 801",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633794",
            "telephone_number": "682-223-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1759 Broad Park Cir S Ste 205",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760637834",
            "country_code": "US",
            "telephone_number": "682-223-2400",
            "fax_number": "682-207-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLEN",
        "first_name": "BRYAN",
        "middle_name": "HANEY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.