Active NPI
Neuroedge Clinic PLLC
- Neurology Physician
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROEDGE CLINIC PLLC
- Practice address
- 1315 Waters Edge Dr Ste 107
Granbury, TX 76048-1300 - Phone
- (817) 964-3013
- Fax
- (817) 964-3130
- NPI assigned
- Feb 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bishnu Sapkota, MD
- Title
- Owner/Physician
- Phone
- (817) 995-4887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1315 Waters Edge Dr Ste 107
Granbury, TX 76048-1300
Mailing address
6720 Crooked Stick Dr
Fort Worth, TX 76132-4536
Phone (817) 964-3013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2339320 | Neuroedge Clinic, PLLC | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
1315 Waters Edge Dr
Ste 107
Granbury, TX 76048
Phone (817) 964-3013
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Granbury, TX
- NPI 1679702872
-
- Family Nurse Practitioner
- Tyler, TX
- NPI 1982296125
-
- Adult Health Nurse Practitioner
- Houston, TX
- NPI 1366963795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1295532489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 CROOKED STICK DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324536",
"telephone_number": "817-964-3013",
"fax_number": "817-964-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 WATERS EDGE DR STE 107",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760481300",
"telephone_number": "817-964-3013",
"fax_number": "817-964-3130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROEDGE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-26",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "SAPKOTA",
"authorized_official_first_name": "BISHNU",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "817-995-4887",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.