Unknown Individual – Family Medicine Physician, NPI 1700971876

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Family Medicine Physician. They hold a License No. F3043 (TX). The NPI Number for Unknown Individual is 1700971876

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700971876
Phone
(817) 377-8820
Address
7016 BRYANT IRVIN RD
Deactivation Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
0941478424
Professional Enrollment ID
I20110728000162
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 7016, Bryant Irvin Road, Fort Worth, Tarrant County, Texas, 76132, United States

    STE 100

    FORT WORTH, TX 761324120

    Phone: (817) 377-8820

    Fax: (817) 377-8450

    Type: Mailing

  • Bryant Irvin Road, Como, Fort Worth, Tarrant County, Texas, 76109, United States

    FT WORTH, TX 761324120

    Phone: (817) 377-8820

    Fax: (817) 377-8450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2023-04-13 • Largest payer in this snapshot: ABBVIE INC. ($69).

Total Amount

$83

General + Research + Ownership

Payments

4

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$69
Indivior Inc.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7441$0
99213Established patient office or other outpatient visit, 20-29 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 76132)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1700971876.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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