Individual provider Active NPI

Brandy Lynnette Yeary, M.D.

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1952492209
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2874 Issued in TX
Practice address
1900 Matlock Rd Ste 804
Mansfield, TX 76063
Phone
(682) 800-3211
Fax
(682) 422-7660
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35224 OK
Family Medicine Physician 207Q00000X 2019-02554 NC
Family Medicine Physician 207Q00000X 2019044234 MO
Family Medicine Physician 207Q00000X 281818 MA
Family Medicine Physician 207Q00000X E-12711 AR
Family Medicine Physician 207Q00000X M2874 TX Primary
Family Medicine Physician 207Q00000X 321518 LA

Addresses

Primary practice location

1900 Matlock Rd Ste 804
Mansfield, TX 76063

Mailing address

1900 Matlock Rd Ste 804
Mansfield, TX 76063
Phone (682) 800-3211

Other identifiers 2

IdentifierTypeStateIssuer
8EF273OtherTXBLUE CROSS AND BLUE SHIELD OF TEXAS
284150402MedicaidTX

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
I20070220000595 TX Practitioner - Family Practice 1759483852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huguley Medical Associates, IncGroup PAC ID 2668562471, 50 clinicians
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1900 Matlock Rd
Suite 804
Mansfield, TX 76063-4455
Phone (682) 800-3211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12711ARMDFamily Medicine Physician
321518LAMDFamily Medicine Physician
281818MAMDFamily Medicine Physician
2019044234MOMDFamily Medicine Physician
2019-02554NCMDFamily Medicine Physician
35224OKMDFamily Medicine Physician
M2874TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Family Medicine CurrentSince Jun 16, 2014 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Medhealth CurrentSince Jun 16, 2014 Accepting new patients
Texas Health Care, P.L.L.C. Family Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

950 E Belt Line Rd
Ste 100
Cedar Hill, TX 75104
Phone (254) 265-4515

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

1900 Matlock Rd
Ste 804
Mansfield, TX 76063
Phone (682) 400-8537

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Interoperability endpoints

  • Direct secure messaging: brandy.yeary.d1.p1@direct.thc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1952492209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MATLOCK RD STE 804",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "682-800-3211",
            "fax_number": "682-422-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MATLOCK RD STE 804",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "682-800-3211",
            "fax_number": "682-422-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARY",
        "first_name": "BRANDY",
        "middle_name": "LYNNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "35224",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-02554",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019044234",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "281818",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12711",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2874",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "321518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TEXAS",
            "identifier": "8EF273",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284150402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.