Individual provider Active NPI

Bryan Lee Wasson, D.O.

  • Internal Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1972537801
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H4780 Issued in TX
Practice address
2560 Central Park Ave Ste 140
Flower Mound, TX 75028-1566
Phone
(972) 410-3803
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H4780 TX Primary

Addresses

Primary practice location

2560 Central Park Ave Ste 140
Flower Mound, TX 75028-1566

Mailing address

2560 Central Park Ave Ste 140
Flower Mound, TX 75028-1566
Phone (972) 410-3803

Other identifiers 2

IdentifierTypeStateIssuer
121035302MedicaidTX
83Y172OtherTXBCBS

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
I20100330000363 TX Practitioner - Internal Medicine 3375679301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
B L Wasson DO PA Internal MedicineGroup PAC ID 9335512987, 2 clinicians

Practice addresses (Care Compare)

2560 Central Park Ave
Suite 140
Flower Mound, TX 75028-1566
Phone (972) 410-3803

Hospital & facility affiliations

  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
B L Wasson DO PA Internal Medicine Internal Medicine CurrentSince Nov 29, 2022 Accepting new patients
Bridlewood Family Healthcare, P.a. CurrentSince Apr 26, 2016 Accepting new patients
Yan Li, MD., PHD., P.a. Past Accepting new patients

Locations

2560 Central Park Ave
Ste 140
Flower Mound, TX 75028
Phone (972) 410-3803

2560 Central Park Ave
#I
Flower Mound, TX 75028
Phone (972) 410-3803

Interoperability endpoints

  • Direct secure messaging: bwasson456581@direct.sw.org
  • Direct secure messaging: bryan.wasson@txbldo.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.

Hospital & facility affiliations 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1972537801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 CENTRAL PARK AVE STE 140",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281566",
            "telephone_number": "972-410-3803",
            "fax_number": "972-556-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 CENTRAL PARK AVE STE 140",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281566",
            "telephone_number": "972-410-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "BRYAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H4780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121035302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83Y172",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.