MANSFIELD MEDICAL CLINIC
NPI 1407966815
Family Medicine in Mansfield, TX
About Mansfield Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANSFIELD MEDICAL CLINIC (NPI 1407966815) is a healthcare organization registered as a family medicine in Mansfield, Texas and active in the NPI registry since August 2006. The organization lists James Irvine, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mansfield Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mansfield Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mansfield Medical Clinic's NPI number?
The NPI number for Mansfield Medical Clinic is 1407966815. It was assigned to this organization in the NPPES registry on August 30, 2006.
Where is Mansfield Medical Clinic located?
Mansfield Medical Clinic is located at 1720 E Broad St, Mansfield, TX 76063. The listed phone number is (817) 453-5912.
What is Mansfield Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mansfield Medical Clinic enrolled in Medicare?
Yes. Mansfield Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mansfield Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mansfield Medical Clinic, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mansfield Medical Clinic was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mansfield Medical Clinic · NPI 1407966815
Family Medicine organization in Mansfield, Texas. Organization record, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1407966815 (Entity type: Organization)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** James Irvine, OWNER
## Practice location
- **Address:** 1720 E BROAD ST, Mansfield, TX 76063-3400
- **Phone:** (817) 453-5912 · **Fax:** (817) 453-2988
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2008
- **Other identifiers:** Medicare PIN 00376Z (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1407966815) · Data from the CMS NPPES public registry.