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DR. JACK BRIDGES BANKHEAD M.D. NPI 1619080728


NPI Information

NPI: 1619080728
Provider Name: DR. JACK BRIDGES BANKHEAD, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
4708 ALLIANCE BLVD STE 300
BAYLOR MEDICAL PLAZA 1
PLANO, TX
ZIP 75093
Phone: (972) 758-6000
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DR. Jack Bridges Bankhead, M.D. is an internal medicine in Plano, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Jack Bridges Bankhead, M.D. NPI is 1619080728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4708 ALLIANCE BLVD STE 300
BAYLOR MEDICAL PLAZA 1
PLANO, TX
ZIP 75093-339
Phone: (972) 758-6000
Fax: (972) 758-6001

The enumeration date for this NPI number is 8/16/2006 and was last updated on 6/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineD6939TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B21080MEDICARE UPINTEXAS
28B9915MEDICARE PINTEXAS
383X037MEDICARE PINTEXAS
41289126-06MEDICAIDTEXAS
5110160026OTHERTEXASRR MEDICARE
6128912604MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.