Individual provider Active NPI

Scott Hall, M.D.

  • Neurology Physician
  • Bedford, TX
National Provider Identifier
1396748075
Registry record updated Jun 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
F6701 Issued in TX
Practice address
1305 Airport Fwy
Ste 205
Bedford, TX 76021-6606
Phone
(817) 267-6290
Fax
(817) 267-0950
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X F6701 TX Primary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X F6701 TX

Addresses

Primary practice location

1305 Airport Fwy
Ste 205
Bedford, TX 76021-6606

Mailing address

1305 Airport Fwy
Ste 205
Bedford, TX 76021-6606
Phone (817) 267-6290

Other identifiers 1

IdentifierTypeStateIssuer
123098904MedicaidTX

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

LicenseStateTypeSpecialty
F6701TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Cities Neurology Associates, P.a. Neurology CurrentSince Jul 10, 1995 Accepting new patients

Locations

1305 Airport Fwy
Ste 205
Bedford, TX 76021
Phone (817) 267-6290

4525 Heritage Trace Pkwy
Ste 117
Fort Worth, TX 76244
Phone (817) 267-6290

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246060800000",
    "number": "1396748075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY",
            "address_2": "STE 205",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216606",
            "telephone_number": "817-267-6290",
            "fax_number": "817-267-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY",
            "address_2": "STE 205",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216606",
            "telephone_number": "817-267-6290",
            "fax_number": "817-267-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "F6701",
            "primary": true
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "TX",
            "license": "F6701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123098904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2009; 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.