Organization Active NPI

Bellaire Neurology, PA

Doing business as Bellaire Neurology

  • Specialist
  • Bellaire, TX
National Provider Identifier
1114937380
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BELLAIRE NEUROLOGY, PA
Doing business as
Bellaire Neurology
Practice address
6700 West Loop S
Ste 330
Bellaire, TX 77401-4104
Phone
(713) 715-6360
Fax
(713) 715-6367
NPI assigned
Aug 9, 2006
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Blakely Long
Title
Practice Manager
Phone
(713) 715-6360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

6700 West Loop S
Ste 330
Bellaire, TX 77401-4104

Mailing address

6700 West Loop S
Ste 330
Bellaire, TX 77401-4104
Phone (713) 715-6360

Other names 1

  • Bellaire Neurology Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1065672Bellaire Neurology, PA6700 West Loop South Ste 330, Bellaire, TX 77401Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

6565 West Loop S
Ste 401
Bellaire, TX 77401
Phone (713) 715-6360

6700 West Loop S
Ste 330
Bellaire, TX 77401
Phone (713) 715-6360

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1114937380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP S",
            "address_2": "STE 330",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014104",
            "telephone_number": "713-715-6360",
            "fax_number": "713-715-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP S",
            "address_2": "STE 330",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014104",
            "telephone_number": "713-715-6360",
            "fax_number": "713-715-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BLAKELY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "713-715-6360"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellaire Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.