Individual provider Active NPI

Brenda Dungan, NP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1972045680
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132575 Issued in TX
Practice address
2260 Trawood Dr Ste C
El Paso, TX 79935-3042
Phone
(915) 591-4632
Fax
(915) 591-4069
NPI assigned
Nov 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132575 TX Primary

Addresses

Primary practice location

2260 Trawood Dr Ste C
El Paso, TX 79935-3042

Mailing address

2260 Trawood Dr Ste C
El Paso, TX 79935-3042
Phone (915) 591-4632

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209000160 TX Practitioner - Nurse Practitioner 3678853686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (210) 617-4706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP132575TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince May 15, 2023 Accepting new patients
Aliviane, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Wellmed Medical Group, PA CurrentSince May 15, 2023 Accepting new patients

Locations

2260 Trawood Dr
Ste C
El Paso, TX 79935
Phone (915) 591-4632

3615 Rutherglen St
El Paso, TX 79925
Phone (915) 772-5400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: brenda.dungan@wellmed.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1972045680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 TRAWOOD DR STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353042",
            "telephone_number": "915-591-4632",
            "fax_number": "915-591-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 TRAWOOD DR STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353042",
            "telephone_number": "915-591-4632",
            "fax_number": "915-591-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGAN",
        "first_name": "BRENDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.