DR. BRENT ALAN BENDER (NPI# 1912934654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912934654 |
| Entity Type | Individual |
| Full Name | DR. BRENT ALAN BENDER |
| Credential | DPM |
| Practice Address |
630 N Bishop Ave Dallas TX 75208-4335 |
| Mailing Address |
707 N Zang Blvd Dallas TX 75208-4337 |
| Practice Telephone | 2149463668 |
| Practice Fax Number | 2149435130 |
| Mailing Telephone | 2149463668 |
| Mailing Fax Number | 2149435130 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1423 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0927469 -02 | 05 |
| Street Address |
630 N BISHOP AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316244205 | Inclusive Pain Management Specialists Pllc | Clinic/Center | 630 N Bishop Ave, Dallas, TX 75208-4335 | 2011-02-11 |
| 1033427166 | Dorothy Marie Williamson | Clinical Nurse Specialist | 630 N Bishop Ave, Dallas, TX 75208-4335 | 2010-09-23 |
| 1588996375 | Unihealth Medical Clinic, LLC | Family Medicine | 630 N Bishop Ave, Dallas, TX 75208-4620 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235658659 | Eldercare Services, LLC | Podiatrist | 9540 Garland Rd Ste 123, Dallas, TX 75218-5004 | 2017-09-18 |
| 1033668173 | Amanda Killeen | Podiatrist | 5323 Harry Hines Blvd # F4.310, Dallas, TX 75390-0001 | 2016-09-30 |
| 1841606506 | Feetbeyond, Inc. | Podiatrist | 13331 Preston Rd Ste 2016, Dallas, TX 75240-1131 | 2014-07-02 |
| 1801065776 | Southwest Podiatry, LLP | Podiatrist | 7777 Forest Ln Ste C435, Dallas, TX 75230-6842 | 2008-02-26 |
| 1568667962 | Ashley K Meusa | Podiatrist | 2922 Mlk Jr Blvd Bldg B, Dallas, TX 75215-2321 | 2007-06-18 |
| 1871707927 | Gary Jay Kaiserman | Podiatrist | 2431 W Kiest Blvd, Dallas, TX 75233-2305 | 2007-05-09 |
| 1790998243 | Vera Stern | Podiatrist | 5925 Forest, #130, Dallas, TX 75230 | 2007-05-08 |
| 1336270826 | Lonnie Schwartz | Podiatrist | 4137 Stanford Ave, Dallas, TX 75225-6930 | 2007-03-08 |
| 1477690071 | Barry Schrager, Dpm, P.a. | Podiatrist | 5459 La Sierra, 101, Dallas, TX 75230 | 2007-01-31 |
| 1558439026 | Willie Larry Lundy | Podiatrist | 2416 Martin Luther King Jr Blvd, Dallas, TX 75215-2303 | 2006-12-01 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.