NPIMap

Individual provider Active NPI

Nolan Bruce Jenevein, M.D.

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1346217163
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H2492 Issued in TX
Practice address
6301 Gaston Ave Ste 100W
Dallas, TX 75214-6273
Phone
(214) 827-3610
Fax
(214) 821-4017
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H2492 TX Primary

Addresses

Primary practice location

6301 Gaston Ave Ste 100W
Dallas, TX 75214-6273

Mailing address

6301 Gaston Ave Ste 100W
Dallas, TX 75214-6273
Phone (214) 827-3610

Other identifiers 1

IdentifierTypeStateIssuer
128206304MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000341 TX Practitioner - Neurology 0143356253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Southwestern Medical School at Dallas, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mpower Clinical TXGroup PAC ID 1850716705, 31 clinicians

Practice addresses (Care Compare)

2915 W Bitters Rd
Suite 201
San Antonio, TX 78248-2007
Phone (210) 598-4268

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2492TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eeg Lab, Inc. CurrentSince Oct 17, 2011 Accepting new patients
Mpower Clinical TX Neurology CurrentSince Jun 24, 2025 Accepting new patients
Texas Neurology, P.a. Past Accepting new patients

Locations

2915 W Bitters Rd
Ste 201
San Antonio, TX 78248

Interoperability endpoints

  • Direct secure messaging: dmcnjenev@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAABA
  • Direct secure messaging: njenevein@direct.uspi.com

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 6

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1346217163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 100W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146273",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 100W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146273",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENEVEIN",
        "first_name": "NOLAN",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H2492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128206304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.