DR. THEODORE BRYAN GUPTON M.D. NPI 1790019347

NPI Information

  • NPI: 1790019347
  • Provider Name: DR. THEODORE BRYAN GUPTON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 815 PENNSYLVANIA AVE
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 321-0404

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NPI Details

DR. Theodore Bryan Gupton, M.D. is a diagnostic radiology radiology in Fort Worth, TX with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Theodore Bryan Gupton, M.D. NPI is 1790019347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:2009

The provider's business location address is:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-224
Phone: (817) 321-0404

The NPI 1790019347 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 9/30/2009 and was last updated on 6/20/2024.

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
12085R0204XRadiologyVascular & Interventional RadiologyQ2900TEXASNo
22085R0202XRadiologyDiagnostic RadiologyQ2900TEXASYes

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: 3/30/2025

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