Active NPI
Longhorn Brain and Spine PLLC
- Neurological Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- LONGHORN BRAIN AND SPINE PLLC
- Practice address
- 1001 12TH Ave Ste 168
Fort Worth, TX 76104-3947 - Phone
- (682) 337-7463
- Fax
- (682) 337-7464
- NPI assigned
- Mar 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grant Allen Booher, MD
- Title
- President
- Phone
- (682) 337-7463
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
1001 12TH Ave Ste 168
Fort Worth, TX 76104-3947
Mailing address
PO Box 185
Fort Worth, TX 76101-0185
Phone (682) 337-7463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Euless, TX
- NPI 1972941714
Member Of
Locations
1001 12th Ave
Ste 168
Ft Worth, TX 76104
Phone (682) 337-7463
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFFFCD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Fort Worth, TX
- NPI 1982963591
-
- Orthopaedic Surgery Physician
- Fort Worth, TX
- NPI 1952393852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1053996447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 185",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761010185",
"telephone_number": "682-337-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 12TH AVE STE 168",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043947",
"telephone_number": "682-337-7463",
"fax_number": "682-337-7464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGHORN BRAIN AND SPINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-16",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A",
"authorized_official_last_name": "BOOHER",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "682-337-7463",
"authorized_official_credential": "MD"
},
"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 Mar 20, 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.