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NPI 1861382004ActiveOrganization· Family Medicine· Bedford, TX

Family Medicine in Bedford, Texas, registered in NPPES in July 2025. The authorized official on file is Zachary Mandler, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1861382004
StatusActive
Entity typeOrganization
NPI issuedJul 8, 2025
Last updated in NPPESOct 1, 2026
Certified by providerOct 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——
Internal Medicine207R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other Family Medicine providers in Bedford

All Family Medicine providers in Texas →