Organization Active NPI

Neurosurgical Associates of North Texas PLLC

  • Neurological Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1053744540
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGICAL ASSOCIATES OF NORTH TEXAS PLLC
Practice address
909 9TH Ave
Suite 201
Fort Worth, TX 76104-3903
Phone
(817) 870-5094
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas Wadlington
Title
Group Vice President
Phone
(615) 372-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

909 9TH Ave
Suite 201
Fort Worth, TX 76104-3903

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131125001321 TX Part B Supplier - Clinic/Group Practice 8921234832 Receives reassigned benefits from 15 practitioners
Practice locations: Weatherford, TX; Plano, TX; McKinney, TX; Mansfield, TX; Granbury, TX; Fort Worth, TX; Arlington, TX; Burleson, TX…

National Provider Directory

National Provider Directory

Locations

515 W Mayfield Rd
Ste 311
Arlington, TX 76014
Phone (817) 419-9200

900 8th Ave
#Forth
Fort Worth, TX 76104
Phone (817) 336-2100

1200 Crawford Ave
Granbury, TX 76048
Phone (682) 205-3501

1200 Crawford Ave
Ste A
Granbury, TX 76048
Phone (817) 573-3447

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1053744540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-870-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-7332"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.