Active NPI
Philip C Bechtel, M.D.
- Neurological Surgery Physician
- Fort Worth, TX
National Provider Identifier
1073555736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- D8142
- Practice address
- 1900 Mistletoe Blvd
Suite 200
Fort Worth, TX 76104-4014 - Phone
- (817) 878-5333
- Fax
- (817) 878-5334
- NPI assigned
- Jun 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | D8142 | TX | Primary |
Addresses
Primary practice location
1900 Mistletoe Blvd
Suite 200
Fort Worth, TX 76104-4014
Mailing address
1900 Mistletoe Blvd
Suite 200
Fort Worth, TX 76104-4014
Phone (817) 878-5333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110110704 | Medicaid | TX | |
| 8H9670 | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| D8142 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Worth Brain & Spine Institute, LLP | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Fort Worth, TX
- NPI 1770503237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1073555736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MISTLETOE BLVD",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044014",
"telephone_number": "817-878-5333",
"fax_number": "817-878-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MISTLETOE BLVD",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044014",
"telephone_number": "817-878-5333",
"fax_number": "817-878-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECHTEL",
"first_name": "PHILIP",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "D8142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110110704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8H9670",
"state": "TX"
}
],
"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 Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.