Organization Active NPI

Bna Medical Group, Inc

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Murphy, TX
National Provider Identifier
1922523042
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
P0534 Issued in TX
Legal business name
BNA MEDICAL GROUP, INC
Practice address
150 Brand Rd Ste 700
Murphy, TX 75094-3734
Phone
(469) 445-2445
NPI assigned
Aug 9, 2017
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Bashar Niman Alshareef, MDNPI 1912142969
Title
Owner
Phone
(973) 573-1774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X P0534 TX Primary

Addresses

Primary practice location

150 Brand Rd Ste 700
Murphy, TX 75094-3734

Mailing address

3515 Arista Blvd Apt 27
Texarkana, TX 75503-1196
Phone (973) 573-1774

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNOT SURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171109000503 TX Part B Supplier - Clinic/Group Practice 5597021485 Receives reassigned benefits from 1 practitioner
Practice locations: Murphy, TX

National Provider Directory

National Provider Directory

Locations

150 Brand
Ste 700
Murphy, TX 75094
Phone (469) 445-2445

403 W Campbell Rd
Ste 400
Richardson, TX 75080
Phone (972) 231-3898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19097/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1922523042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 ARISTA BLVD APT 27",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031196",
            "telephone_number": "973-573-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRAND RD STE 700",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943734",
            "telephone_number": "469-445-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNA MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "ALSHAREEF",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_middle_name": "NIMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-573-1774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "TX",
            "license": "P0534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT SURE",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.