Usha Walia, M.D

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

J0719 Issued in TX

Practice address

2719 Northrdge Dr
Suite 107
Bedford, TX 76021-4142

Phone

(817) 577-8580

Fax

(817) 282-8141

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1437252772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 NORTHRIDGE DR",
            "address_2": "SUITE 107",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214142",
            "telephone_number": "817-577-8580",
            "fax_number": "817-282-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 NORTHRDGE DR",
            "address_2": "SUITE 107",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214142",
            "telephone_number": "817-577-8580",
            "fax_number": "817-282-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIA",
        "first_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J0719",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J0719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034396401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11108851",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1306084793",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas LLC
• Leslie Lynn Walden, LPC-INTERN
• Walgreen Co
• Walgreen Co
• Joel Wayne Walker, M.D.
• Ulizabeth Monique Walker, LPC
• Nichelle M. Wall, M. ED., LPC, CST-C
• Ansley Waller, MSN, APRN, AGACNP-BC
• Sharon Walters, RN, CNS, PMHNP

• Neurology Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.