DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1912952227

NPI Code Detail

MEDICARE: DR. ASHKAN BIDGOLI DO

MEDICARE: DR. ASHKAN BIDGOLI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	M3162	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00038768	OTHER	TX	RR MEDICARE
11	8G8522	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8R3173	OTHER	TX	BCBS
2	8J1866	OTHER	TX	BCBS WITH AEMA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	P01161489	OTHER	TX	RAILROAD MCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	8BT313	OTHER	TX	BCBS THRU SAEMA
10	8W7098	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1912952227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHKAN BIDGOLI DO

Provider Business Mailing Address
First Line	:	1441 N BECKLEY AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1201
Country	:	US
Telephone Number	:	214-942-5733
Fax Number	:	214-942-6115

Provider Business Practice Location Address
First Line	:	2700 E BROAD ST
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5899
Country	:	US
Telephone Number	:	682-622-7139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	10/04/2013

Similar Medicare Providers

1598610792 — SIMON NGUYEN
Practice Location Address:

2700 E BROAD ST
MANSFIELD, TX
76063-5899

Practice Phone: 682-242-2000
Practice Fax:

1598610453 — KATE WALKER PA-C
Practice Location Address:

2700 E BROAD ST STE 522
MANSFIELD, TX
76063-5899

Practice Phone: 214-821-9600
Practice Fax:

1164497509 — DEBBIE L WILLIAMS P.A.
Practice Location Address:

2700 E BROAD ST
MANSFIELD, TX
76063-5899

Practice Phone: 214-947-2874
Practice Fax: 214-947-2884

1689629941 — METHODIST HOSPITALS OF DALLAS
Practice Location Address:

2700 E BROAD ST
MANSFIELD, TX
76063-5899

Practice Phone: 682-622-2000
Practice Fax:

1144366139 — MISS ASHLEE ELAINE BRAZIEL PA-C
Practice Location Address:

2700 E BROAD ST
MANSFIELD, TX
76063-5899

Practice Phone: 682-242-6470
Practice Fax:

1629194311 — DR. SHELLEY GUZMAN LENAMOND D.O.
Practice Location Address:

2700 E BROAD ST
MANSFIELD, TX
76063-5899

Practice Phone: 682-622-2065
Practice Fax: 682-622-2091

Directions to “ DR. ASHKAN BIDGOLI DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.