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

Joseph Radzevich, DO

Individual provider Surgery Physician · NPI 1134574007

Joseph Radzevich, DO is a General Surgery in Southlake, Texas. Qualified in 2016, 10 years ago. Practices with Advanced Orthopedics and Sports Medicine, a 46-clinician group and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
10
Licensed in
MO, TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

431 E State Highway 114 Ste 450
Southlake, TX 76092-4417
Phone: (817) 912-1610
Fax: (817) 912-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence W0086 (TX)
Surgery Physician Taxonomy 208600000X · Licence 2023016051 (MO)

Record details

NPI number1134574007
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 28, 2016
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address431 E State Highway 114 Ste 450, Southlake, TX 76092-4417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advanced Orthopedics And Sports Medicine — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southlake