Breast Care Center of North Texas

Primary specialty

SpecialistTaxonomy code 174400000X

License

G2110 Issued in TX

Legal business name

BREAST CARE CENTER OF NORTH TEXAS

Practice address

1615 Hospital Pkwy
Suite 109
Bedford, TX 76022-5934

Phone

(817) 662-0008

Fax

(817) 662-0014

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mary B Brian, MD

Title

President

Phone

(817) 662-0008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982805305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY",
            "address_2": "SUITE 109",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225934",
            "telephone_number": "817-662-0008",
            "fax_number": "817-662-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY",
            "address_2": "SUITE 109",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225934",
            "telephone_number": "817-662-0008",
            "fax_number": "817-662-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE CENTER OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-662-0008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon C Bramlett, LPC
• Kristen Dawn Brannon, PAC
• Dawn Renee Bransky
• Cale Robert Braun, LPC-ASSOCIATE
• Julia Anne Braun, LPC
• Breastfeeding Professionals of North Texas
• Denise Lynne Bredow, R.N., C.F.N.P.
• Mary Belva Brian, MD
• Brian Douglas Briscoe, MS, LPC-I, LCDC-I
• Mary Jo Ann Bro

• Specialist in Bedford, TX
• Providers in Bedford, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.