JAKE AUSTIN ALFORD MD NPI 1780189290

NPI Information

  • NPI: 1780189290
  • Provider Name: JAKE AUSTIN ALFORD, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 COOPER ST
    FORT WORTH, TX
    ZIP 76104
  • Phone: (682) 885-7770

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NPI Details

Jake Austin Alford, MD is a plastic and reconstructive surgery surgery in Fort Worth, TX with 8 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Jake Austin Alford, MD NPI is 1780189290. 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:

1500 COOPER ST
FORT WORTH, TX
ZIP 76104-710
Phone: (682) 885-7770
Fax: (682) 303-1575

The NPI 1780189290 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2018 and was last updated on 10/8/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryA164595CALIFORNIANo
22086S0122XSurgeryPlastic and Reconstructive SurgeryV8658TEXASYes

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: 11/21/2025

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