NPIMap

Organization Active NPI

Basil Bernstein MD PA

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1093976334
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3043 Issued in TX
Legal business name
BASIL BERNSTEIN MD PA
Practice address
7016 Bryant Irvin Rd # 100
Fort Worth, TX 76132-4120
Phone
(817) 377-8820
Fax
(817) 377-8450
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dr. Basil Bernstein, MD PA
Title
President-Owner
Phone
(817) 377-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X F3043 TX Primary

Addresses

Primary practice location

7016 Bryant Irvin Rd # 100
Fort Worth, TX 76132-4120

Mailing address

7016 Bryant Irvin Rd # 100
Fort Worth, TX 76132-4120
Phone (817) 377-8820

National Provider Directory

National Provider Directory

Locations

7016 Bryant Irvin Rd
#100
Ft Worth, TX 76132
Phone (817) 377-8820

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1093976334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 BRYANT IRVIN RD # 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324120",
            "telephone_number": "817-377-8820",
            "fax_number": "817-377-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 BRYANT IRVIN RD # 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324120",
            "telephone_number": "817-377-8820",
            "fax_number": "817-377-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIL BERNSTEIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "817-377-8820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3043",
            "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 Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.