Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brad James Gautney, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1467074302

Brad James Gautney, CPNP-PC is a Pediatric Nurse Practitioner in Irving, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
Specialties on file
3

Practice location Address checks out

1111 W Airport Fwy Ste 143
Irving, TX 75062-6204
Phone: (469) 488-4500
Fax: (469) 488-4501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP145468 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 672090 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP145468 (TX)

Record details

NPI number1467074302
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

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