Thomas Doak Bannister IV, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

679878 Issued in TX

Practice address

221 Bedford Rd
Bedford, TX 76022-5201

Phone

(817) 268-0104

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1336183458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FAIR GREEN DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625630",
            "telephone_number": "817-683-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BEDFORD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225201",
            "telephone_number": "817-268-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "THOMAS",
        "middle_name": "DOAK",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "679878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Balinao
• Mavis Ball, LPC
• Ashley E Banda, PA-C
• Timothy Banister, PHARM.D.
• Alyssa Crouse Bankes, MS RDN LD
• Rene Banzuelo, PHARMD
• Bailey Baratta, DO
• Barkman & Smith Physical Therapy
• Ron W. Barkman, P.T.
• James Marcellus Barry Jr., M.D.

• Registered Nurse in Bedford, TX
• Providers in Bedford, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.