Active NPI
Brent Alan Bender, DPM
- Podiatrist
- Dallas, TX
National Provider Identifier
1912934654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0927469 -02 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Removal of tissue | 291 |
| Removal of nail tissue | 1920 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1423 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Podiatric Medicine Podiatrist
- Houston, TX
- NPI 1437147634
-
- Podiatrist
- Houston, TX
- NPI 1447399639
-
- Podiatrist
- Houston, TX
- NPI 1730228925
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.