P Praxis·MD
● Active Type 1 · Individual

Bradford Bennett JR., MD

Radiology·Fort Worth, TX· NPI 1609308105 · Enumerated 2017 · 9 years on NPI
Bennett is 1 of 276 radiology providers in Fort Worth and 1 of 3776 in Texas.
NPI age
9 years
Enumerated 2017-04-03
Primary specialty
Radiology
Plus 8 subspecialties
Licensed in
TX, OR, FL, KS, CO, MT, UT, NH
8 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
9 years
↓ 10 yr below median (19 yr)
State licenses
8 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
815 Pennsylvania Ave
Fort Worth, TX 761042224
📞 8173210404
Mailing address
816 W Cannon St
Fort Worth, TX 761043146
📞 8173210404

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1110 N Sarah Dewitt Dr
Gonzales, TX 786293311
📞 8168009020
Location 3
1460 G St
Springfield, OR 974774112
📞 8168009020

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #T9639OR license #MD221169FL license #ME170736KS license #04-49828CO license #DR.0073875MT license #MED-PHYS-LIC-149152UT license #14213246-1235NH license #24502 taxonomy 2085R0202X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 244 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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