Allison C Bardin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08026 Issued in TX

Practice address

3801 William D Tate Ave Ste 840
Grapevine, TX 76051-8759

Phone

(817) 310-3772

Fax

(817) 310-3950

NPI assigned

Jun 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1902243777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WILLIAM D TATE AVE STE 840",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518759",
            "telephone_number": "817-310-3772",
            "fax_number": "817-310-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WILLIAM D TATE AVE STE 840",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518759",
            "telephone_number": "817-310-3772",
            "fax_number": "817-310-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDIN",
        "first_name": "ALLISON",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce A Bakke, R.PH., MBA
• Alicia Jennifer Baldassare, APRN, CNP
• Ryan Patrick Balogh, M.D.
• Tami Imbriale Bannister, PT
• Haley Barber, LMSW
• Amy Michelle Barger, FNP-C
• Kammi L Barnard, PT
• Jeannie Barnes, LPC
• Megan Barnes, PT, DPT
• Rachel Catherine Barr, PA-C

• Physician Assistant in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.