BLC WOUND CARE PLLC
NPI 1508500638
Preventive Medicine - Undersea and Hyperbaric Medicine in Irving, TX

Q: What is Blc Wound Care PLLC's NPI number?

The NPI number for Blc Wound Care PLLC is 1508500638. It was assigned to this organization in the NPPES registry on April 25, 2022.

Q: What is Blc Wound Care PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Active since April 25, 2022

400 W LYNDON B JOHNSON FWY STE 130, IRVING, TX 75063(972) 990-5222(972) 990-3900 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2023, Apr 25, 2022 (2 updates tracked since 2022).

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About Blc Wound Care Pllc NPPES

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

BLC WOUND CARE PLLC (NPI 1508500638) is a healthcare organization registered as an undersea and hyperbaric medicine in Irving, Texas and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Dallas and lists Brad Taylor Landrum, Owner, as its authorized official.

NPPES Registry Identity

NPI1508500638

Entity TypeOrganization

Primary Taxonomy2083P0011X

Legal Business NameBLC WOUND CARE PLLC

Location Address400 W LYNDON B JOHNSON FWY STE 130Irving, TX 75063-3700

Mailing Address9819 Edgecove DrDallas, TX 75238-1535 · (817) 793-0513 · Fax (972) 990-3900

Phone(972) 990-5222

Fax(972) 990-3900

Organization SubpartNo

Authorized OfficialBrad Taylor LandrumOwner · (817) 793-0513

Enumeration DateApril 25, 2022

Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2023

✔ NPI 1508500638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0011X

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Also ListedFamily MedicineTaxonomy 207Q00000X

400 W LYNDON B JOHNSON FWY STE 130, Irving, TX 75063

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Secondary Practice Location 1

Location 13600 Gaston Ave Ste 210Dallas, TX 75246-1822 · Phone (214) 820-4400 · Fax (214) 820-2655

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blc Wound Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blc Wound Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brad Landrum, MD

Family Practice

NPI 1356870620

5171 S COTTONWOOD ST
Murray, UT 84107

(866) 415-6556

✔ PECOS✔ Accepts Medicare1,004 mi

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 Blc Wound Care PLLC's NPI number?

The NPI number for Blc Wound Care PLLC is 1508500638. It was assigned to this organization in the NPPES registry on April 25, 2022.

Where is Blc Wound Care PLLC located?

Blc Wound Care PLLC is located at 400 W Lyndon B Johnson Fwy Ste 130, Irving, TX 75063. The listed phone number is (972) 990-5222.

What is Blc Wound Care PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Blc Wound Care PLLC enrolled in Medicare?

Yes. Blc Wound Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blc Wound Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Blc Wound Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blc Wound Care PLLC was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.