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BREAST RECON SPECIALISTS, PLLC
NPI 1104348614
Surgery - Plastic and Reconstructive Surgery in Colleyville, TX

Active since July 17, 2017
7167 COLLEYVILLE BLVD STE 102, COLLEYVILLE, TX 76034(817) 484-0169 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2020, Jul 17, 2017 (2 updates tracked since 2017).

About Breast Recon Specialists, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREAST RECON SPECIALISTS, PLLC (NPI 1104348614) is a healthcare organization registered as a plastic and reconstructive surgery in Colleyville, Texas and active in the NPI registry since July 2017. The organization lists Jon Ver Halen, Md, as its authorized official.

NPPES Registry Identity

NPI1104348614
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameBREAST RECON SPECIALISTS, PLLC
Location Address7167 COLLEYVILLE BLVD STE 102Colleyville, TX 76034-8002
Mailing Address1717 Wisteria WayWestlake, TX 76262-9083 · (206) 963-8714
Phone(817) 484-0169
Organization SubpartNo
Authorized OfficialJon Ver HalenMd · (817) 416-8080
Enumeration DateJuly 17, 2017
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1104348614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
7167 COLLEYVILLE BLVD STE 102, Colleyville, TX 76034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON P VERHALEN MD
Surgery (Plastic and Reconstructive Surgery)
7167 COLLEYVILLE BLVD STE 102
COLLEYVILLE, TX 76034
Tarrant County (817) 484-0169
DAVID P MCNAIR MD
Family Medicine
7167 COLLEYVILLE BLVD STE 102
COLLEYVILLE, TX 76034
Tarrant County (817) 488-4105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breast Recon Specialists, PLLC's NPI number?

The NPI number for Breast Recon Specialists, PLLC is 1104348614. It was assigned to this organization in the NPPES registry on July 17, 2017.

Where is Breast Recon Specialists, PLLC located?

Breast Recon Specialists, PLLC is located at 7167 Colleyville Blvd Ste 102, Colleyville, TX 76034. The listed phone number is (817) 484-0169.

What is Breast Recon Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Breast Recon Specialists, PLLC was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.