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Active NPI 1467074302 Individual Practitioner Male Practitioner

Brad James Gautney , CPNP-PC

Nurse Practitioner - Pediatrics • Irving, TX

Professional Overview & Biography Verified Profile Summary

Brad Gautney, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Irving, TX. Practice services are available at 1111 W AIRPORT FWY STE 143 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1111 W Airport Fwy Ste 143

Irving, TX 750626204

Telephone 4694884500
Fax 4694884501

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Irving, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Irving, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-08
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX AP145468

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License TX 672090

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License TX AP145468

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1356577282

Doctor of Medicine (M.D.)

NPI 1366763666

Doctor of Medicine (M.D.)

Henna Bhanwadia , APRN

Nurse Practitioner - Pediatrics

NPI 1639032675

Advanced Practice Registered Nurse

NPI 1700221918

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 08, 2026

Registered at 1111 W AIRPORT FWY STE 143, IRVING, TX 750626204 (Tel: 4694884500)

📍
Updated Business Mailing Address January 08, 2026

Registered at 1111 W AIRPORT FWY STE 143, IRVING, TX 750626204

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2026

Nurse Practitioner (License #AP145468 in TX)

📍
Updated Practice Location July 24, 2020

Registered at 1011 W GROVE ST STE 120, KAUFMAN, TX 751421883 (Tel: 9729621062)

👤
Provider Name / Credentials Updated July 24, 2020

Recorded as BRAD GAUTNEY, CPNP-PC

NPI Profile Active May 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2020

Registered at 3975 HIGHGROVE DR, DALLAS, TX 752203753 (Tel: 9137063120)

📍
Updated Business Mailing Address May 14, 2020

Registered at 3975 HIGHGROVE DR, DALLAS, TX 752203753

👤
Provider Name / Credentials Updated May 14, 2020

Recorded as BRAD GAUTNEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Registered Nurse (License #672090 in TX)

🟢
Initial NPI Registration & Enumeration May 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467074302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2020
Last Update: January 08, 2026
Sole Proprietor: No

Mailing Address

1111 W Airport Fwy Ste 143

Irving, TX 750626204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.