NPIMap

Organization Active NPI

Metroplex Urology and Transplant Surgery PLLC

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1962874552
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
METROPLEX UROLOGY AND TRANSPLANT SURGERY PLLC
Practice address
900 Jerome St
Suite 304
Fort Worth, TX 76104-3945
Phone
(817) 348-8399
Fax
(817) 348-8380
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Dr. David L. Gould, M.D.NPI 1114968625
Title
Owner
Phone
(817) 348-8399

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X TX Primary

Addresses

Primary practice location

900 Jerome St
Suite 304
Fort Worth, TX 76104-3945

Mailing address

900 Jerome St
Suite 304
Fort Worth, TX 76104-3945
Phone (817) 348-8399

Other identifiers 2

IdentifierTypeStateIssuer
137641016MedicaidTX
374889901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160518002040 TX Part B Supplier - Clinic/Group Practice 0547559379 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

900 Jerome St
Ste 304
Fort Worth, TX 76104
Phone (817) 348-8399

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1962874552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JEROME ST",
            "address_2": "SUITE 304",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043945",
            "telephone_number": "817-348-8399",
            "fax_number": "817-348-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JEROME ST",
            "address_2": "SUITE 304",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043945",
            "telephone_number": "817-348-8399",
            "fax_number": "817-348-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX UROLOGY AND TRANSPLANT SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-348-8399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137641016",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374889901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.