Your Family Medical – Family Medicine Physician, NPI 1508078452
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Your Family Medical
1305 AIRPORT FWY STE 302A
BEDFORD, TX 760216604
Phone: (817) 283-6995
Fax: (817) 283-2397
Type: Mailing
1305, Airport Freeway, Bedford, Tarrant County, Texas, 76022, United States
SUITE 302
BEDFORD, TX 76021
Phone: (817) 283-6995
Fax: (817) 283-6901
Type: Location
9239 Vista Way
Benbrook, TX 761262451
Phone: (817) 737-3331
Fax: (817) 737-2333
Type: Location
308 W ROCK ISLAND AVE
BOYD, TX 760237602
Phone: (940) 279-7111
Type: Location
111 W 5th St
Justin, TX 762479622
Phone: (940) 648-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20071210000222 | O | Clinic/Group Practice | TX | TBD |
| O20260302003253 | O | Physician - Interventional Pain Management | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76021)
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Reviews
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