Active NPI
Alan Wood Halliday, M.D.
- Neurology Physician
- Fort Sam Houston, TX
National Provider Identifier
1063401313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- J5780
- Practice address
- Brooke Army Medical Center
3851 Roger Brooke Drive
Fort Sam Houston, TX 78234-6200 - Phone
- (210) 916-2203
- Fax
- (210) 916-3833
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | J5780 | TX | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | J5780 | TX |
Addresses
Primary practice location
Brooke Army Medical Center
3851 Roger Brooke Drive
Fort Sam Houston, TX 78234-6200
Mailing address
18227 Openforest
San Antonio, TX 78259-3617
Phone (210) 916-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5780 | TX | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1063401313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18227 OPENFOREST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782593617",
"telephone_number": "210-916-2203",
"fax_number": "210-916-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3851 ROGER BROOKE DRIVE",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-2203",
"fax_number": "210-916-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIDAY",
"first_name": "ALAN",
"middle_name": "WOOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "J5780",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "TX",
"license": "J5780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.