Individual provider Active NPI

Bhavisha Bhakta Nunez, D.O.

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
National Provider Identifier
1992191829
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S3357 Issued in TX
Practice address
2800 E Broad St Ste 212
Mansfield, TX 76063-6411
Phone
(682) 242-8890
Fax
(682) 242-8896
NPI assigned
Apr 7, 2015
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2015019331 MO
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X S3357 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 212
Mansfield, TX 76063-6411

Mailing address

120 N Miller Rd Unit 300
Mansfield, TX 76063-9173
Phone (817) 303-0496

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
I20191125002057 TX Practitioner - Obstetrics/Gynecology 6901109446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2800 E Broad St
Suite 212
Mansfield, TX 76063-6411
Phone (682) 242-8890

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3357TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Single Specialty CurrentSince Jan 3, 2022 Accepting new patients
Medhealth Single Specialty CurrentSince Jan 3, 2022 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

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

120 N Miller Rd
Ste 300
Mansfield, TX 76063
Phone (682) 341-7510

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2800 E Broad St
Ste 212
Mansfield, TX 76063
Phone (682) 242-8890

Interoperability endpoints

  • Direct secure messaging: bbhaktanunez115413@dm.mhd.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1992191829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MILLER RD UNIT 300",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639173",
            "telephone_number": "817-303-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 212",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636411",
            "telephone_number": "682-242-8890",
            "fax_number": "682-242-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA NUNEZ",
        "first_name": "BHAVISHA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2015019331",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.