Individual provider Active NPI

Scott Brian Phillips, M.D.

  • Neurological Surgery Physician
  • Wichita Falls, TX
National Provider Identifier
1104035781
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
Q6976 Issued in TX
Practice address
1912 Loop 11
Wichita Falls, TX 76306-4921
Phone
(940) 263-1551
Fax
(833) 620-2407
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Q6976 TX Primary

Addresses

Primary practice location

1912 Loop 11
Wichita Falls, TX 76306-4921

Mailing address

1912 Loop 11
Wichita Falls, TX 76306-4921
Phone (940) 263-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128003087 TX Practitioner - Neurosurgery 0345548640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Cincinnati College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1106 Travis St
Suite 120
Wichita Falls, TX 76301-4675
Phone (940) 263-1551

217 W Belknap St
Jacksboro, TX 76458-2307
Phone (940) 263-1551

310 W S St
Henrietta, TX 76365-3346
Phone (940) 263-1551

920 Hillcest Dr
Vernon, TX 76384-3132
Phone (940) 263-1551

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
  • Wilbarger General Hospital Hospital, Vernon, TX, CCN 450584

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scott B Phillips PLLC CurrentSince Nov 1, 2017 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Scott B Phillips PLLC Neurological Surgery CurrentSince Jul 17, 2017 Accepting new patients

Locations

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

217 W Belknap St
Jacksboro, TX 76458
Phone (940) 263-1551

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

920 Hillcrest Dr
Vernon, TX 76384
Phone (940) 552-9351

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1912 Loop 11
Wichita Falls, TX 76306
Phone (940) 263-1551

1106 Travis St
Ste 120
Wichita Falls, TX 76301
Phone (940) 263-1551

1511 10th St
Wichita Falls, TX 76301
Phone (940) 723-1672

Interoperability endpoints

  • Direct secure messaging: scott.phillips.1@25613.direct.athenahealth.com
  • Direct secure messaging: sphillips14478@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: scott.phillips.1@11284.direct.athenahealth.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1104035781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 LOOP 11",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763064921",
            "telephone_number": "940-263-1551",
            "fax_number": "833-620-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 LOOP 11",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763064921",
            "telephone_number": "940-263-1551",
            "fax_number": "833-620-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SCOTT",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.