Brent T Alford, M.D.
Individual provider Active NPI Neurological Surgery Physician · Fort Worth, TX
NPI 1467488288 · NPPES record last updated Feb 4, 2019
Key facts
- NPI
- 1467488288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- K1969 (TX)
- Practice address
- 1900 Mistletoe Blvd Ste 200
Fort Worth, TX 76104-4049 - Phone
- (817) 878-5333
- Fax
- (817) 878-5334
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fort Worth Brain and Spine Institute, LLP
Practice addresses (Care Compare)
1900 Mistletoe Blvd
Fort Worth, TX 76104-4049
Phone (817) 878-5333
Hospital & facility affiliations
- Encompass Home Health of DFW
- Enhabit Home Health
- Medical City Fort Worth
- Baylor Scott and White Surgical Hospital Fortworth
- Texas Health Harris Methodist Fort Worth
- Graham Regional Medical Center
- Texas Health Huguley Hospital Fort Worth South
- Baylor Scott & White Institute for Rehabilitation
- Baylor Institute for Rehabilitation at Frisco
- Baylor Institute for Rehabilitation at Fort Worth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 156 |
| Laminectomy or laminotomy (partial removal of spine bones) | 51 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050303000316 | TX | Practitioner - Neurosurgery |
6901850809 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1969 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current |
Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Fort Worth Brain & Spine Institute, LLP | Neurological Surgery | Current |
Accepting new patients |
| Healthtexas Provider Network | Current |
Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1900 Mistletoe Blvd
Ste 200
Ft Worth, TX 76104
1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192
Interoperability endpoints
- balford@direct.uspi.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | K1969 | TX | Yes |
Addresses
Primary practice location
1900 Mistletoe Blvd Ste 200
Fort Worth, TX 76104-4049
Mailing address
1900 Mistletoe Blvd Ste 200
Fort Worth, TX 76104-4049
Phone (817) 878-5333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8H9675 | Other | TX | BLUE CROSS BLUE SHIELD |
| 143403702 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1467488288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MISTLETOE BLVD STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044049",
"telephone_number": "817-878-5333",
"fax_number": "817-878-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MISTLETOE BLVD STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044049",
"telephone_number": "817-878-5333",
"fax_number": "817-878-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFORD",
"first_name": "BRENT",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "K1969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8H9675",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143403702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Tamara Beth Alexander
- Vinu Alexander
- Althea L Alexis
- Diane R Alfino
- Miriam Alfonzo
- Brian Ashley Alford
- Jake Austin Alford
- Janpris Alford
- Leah Alford
- Mark A Alford
All providers in Fort Worth, TX · Neurological Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.