Mark H Bussell MD Cpo PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J0452 Issued in TX

Legal business name

MARK H BUSSELL MD CPO PA

Practice address

6116 Oak Bend Trail
Ste 112
Ft Worth, TX 76132-4203

Phone

(817) 346-7800

Fax

(817) 346-7804

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ruth A Golden

Title

Practice Administrator

Phone

(817) 346-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Grace Hospice of Puerto Rico, LLC

  • Community Based Hospice Care Agency
  • San Juan, PR
  • NPI 1730586751

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark H Bussell, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
  • NPI 1922041599
  Medicare reassignment NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1376763946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 OAKBEND TRL",
            "address_2": "SUITE 112",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323925",
            "telephone_number": "817-732-0800",
            "fax_number": "817-596-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 OAK BEND TRAIL",
            "address_2": "STE 112",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761324203",
            "telephone_number": "817-346-7800",
            "fax_number": "817-346-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H BUSSELL MD CPO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-346-7800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J0452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Vincent Marinelli, DO
• Karina Marino, LPC-A
• Nancy Maritim
• Mark Garza, M.D., PLLC
• Mark Garza, M.D., PLLC
• Mark Kuper DO PA
• Mark Lindemann DO PA
• Rachel Holman Mark, MSN, RN, CPN,CPNP-PC
• Heather Markgraf
• Kael Craig Markham

• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.