Active NPI
Ralph Fredrick Baine, MD
- Emergency Medicine Physician
- Fort Worth, TX
National Provider Identifier
1215136510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- N0621
- Practice address
- 6451 Brentwood Stair Road
Suite 200
Fort Worth, TX 76112 - Phone
- (817) 496-9700
- NPI assigned
- Jul 16, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | N0621 | TX | Primary |
Addresses
Primary practice location
6451 Brentwood Stair Road
Suite 200
Fort Worth, TX 76112
Mailing address
6451 Brentwood Stair Road
Suite 200
Fort Worth, TX 76112
Phone (817) 496-9700
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 |
|---|---|---|---|
| N0621 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Post-Acute Care PC | Past | Accepting new patients | |
| Behavioral Health of North Texas LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1215136510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 BRENTWOOD STAIR ROAD",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76112",
"telephone_number": "817-496-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 BRENTWOOD STAIR ROAD",
"address_2": "SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76112",
"telephone_number": "817-496-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAINE",
"first_name": "RALPH",
"middle_name": "FREDRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "N0621",
"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 Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.