Individual provider Active NPI

Brent Alan Bender, DPM

  • Podiatrist
  • Dallas, TX
National Provider Identifier
1912934654
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1423 Issued in TX
Practice address
630 N Bishop Ave
Dallas, TX 75208-4335
Phone
(214) 946-3668
Fax
(214) 943-5130
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1423 TX Primary

Addresses

Primary practice location

630 N Bishop Ave
Dallas, TX 75208-4335

Mailing address

707 N Zang Blvd
Dallas, TX 75208-4337
Phone (214) 946-3668

Other identifiers 1

IdentifierTypeStateIssuer
0927469 -02MedicaidTX

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
I20080326000198 TX Practitioner - Podiatry 9436235827 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 N Bishop Ave
Dallas, TX 75208-4335

707 N Zang Boulevard
Dallas, TX 75208-4337
Phone (214) 946-3668

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Removal of tissue291
Removal of nail tissue1920
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1423TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients
Home Foot Care, LLP Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients

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.

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1912934654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084337",
            "telephone_number": "214-946-3668",
            "fax_number": "214-943-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084335",
            "telephone_number": "214-946-3668",
            "fax_number": "214-943-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927469 -02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.