Individual provider Active NPI

Brian Knox Jenkins, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1912941659
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2664 Issued in TX
Practice address
1701 River Run
Suite 750
Fort Worth, TX 76107-6579
Phone
(817) 905-9729
Fax
(817) 378-4756
NPI assigned
Jun 15, 2006
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2664 TX Primary

Addresses

Primary practice location

1701 River Run
Suite 750
Fort Worth, TX 76107-6579

Mailing address

PO Box 100833
Fort Worth, TX 76185-0833
Phone (817) 905-9729

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
I20061005000318 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0749286227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

7400 McCart Ave
Fort Worth, TX 76133-7270
Phone (817) 294-1651

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Nov 20, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 20, 2018 Accepting new patients
Primary Health Physicians, PLLC CurrentSince Oct 13, 2025 Accepting new patients
Perc Emergency Physicians Past Accepting new patients
Campion Emergency Physicians PLLC Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1912941659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100833",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761850833",
            "telephone_number": "817-905-9729",
            "fax_number": "817-378-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN",
            "address_2": "SUITE 750",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076579",
            "telephone_number": "817-905-9729",
            "fax_number": "817-378-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "BRIAN",
        "middle_name": "KNOX",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.