Organization Active NPI

Neurology Medical Consultants PA

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1457579153
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K8037 Issued in TX
Legal business name
NEUROLOGY MEDICAL CONSULTANTS PA
Practice address
414 Navarro St
Ste 909
San Antonio, TX 78205-2516
Phone
(210) 579-3208
Fax
(210) 579-3279
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Dr. Nancy A Burt, M.D.NPI 1407851223
Title
President
Phone
(210) 579-3208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X K8037 TX Primary

Addresses

Primary practice location

414 Navarro St
Ste 909
San Antonio, TX 78205-2516

Mailing address

PO Box 1494
San Antonio, TX 78295-1494
Phone (210) 733-0578

Other identifiers 1

IdentifierTypeStateIssuer
170920601MedicaidTX

National Provider Directory

National Provider Directory

Locations

701 E Marshall Ave
Ste 407
Longview, TX 75601
Phone (903) 315-2826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1457579153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1494",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782951494",
            "telephone_number": "210-733-0578",
            "fax_number": "210-587-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "STE 909",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-579-3208",
            "fax_number": "210-579-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY MEDICAL CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-579-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K8037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170920601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.