Individual provider Active NPI

Bryan Wesley Kromenacker, MD

  • Psychiatry Physician
  • Plano, TX
National Provider Identifier
1912588054
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
V1161 Issued in TX
Practice address
5300 W Plano Pkwy Ste 100
Plano, TX 75093-4851
Phone
(972) 403-1463
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X V1161 TX Primary

Addresses

Primary practice location

5300 W Plano Pkwy Ste 100
Plano, TX 75093-4851

Mailing address

5300 W Plano Pkwy Ste 100
Plano, TX 75093-4851
Phone (972) 403-1463

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 590-8000

Other practice location 2

771 E Southlake Blvd Ste 223
Southlake, TX 76092-7065
Phone (817) 803-2715

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806001548 TX Practitioner - Psychiatry 8921516246 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arizona College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians
Smart Neuro Health and Wellness Professionals Texas PAGroup PAC ID 8921401829, 15 clinicians

Practice addresses (Care Compare)

5300 W Plano Pkwy
Plano, TX 75093-4863
Phone (972) 733-7242

5300 W Plano Pkwy
Suite 100
Plano, TX 75093-4851
Phone (469) 440-9543

771 E Southlake Blvd
Suite 223
Southlake, TX 76092-7065
Phone (817) 803-2715

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Neuro Health & Wellness Professionals Texas PA CurrentSince Sep 22, 2025 Accepting new patients
Champion TMS LLC CurrentSince Sep 24, 2025 Accepting new patients
Bent Tree Psychiatric Assoc Psychiatry CurrentSince Sep 22, 2025 Accepting new patients

Locations

1604 Hospital Pkwy
Ste 407
Bedford, TX 76022
Phone (469) 379-8222

4245 N Central Expy
Ste 450
Dallas, TX 75205
Phone (469) 379-8222

8604 Greenville Ave
Ste 201
Dallas, TX 75243
Phone (214) 775-0099

11550 Fuqua St
Ste 560
Houston, TX 77034
Phone (281) 922-7333

5300 W Plano Pkwy
Plano, TX 75093
Phone (972) 403-1463

1820 Preston Park Blvd
Ste 2500
Plano, TX 75093

6839 Communications Pkwy
Plano, TX 75024
Phone (469) 379-8222

5300 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 440-9543

771 E Southlake Blvd
Ste 223
Southlake, TX 76092
Phone (817) 803-2715

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1912588054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934851",
            "telephone_number": "972-403-1463",
            "fax_number": "833-449-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934851",
            "telephone_number": "972-403-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-590-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "771 E Southlake Blvd Ste 223",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760927065",
            "country_code": "US",
            "telephone_number": "817-803-2715",
            "fax_number": "817-753-7039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROMENACKER",
        "first_name": "BRYAN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.