Organization Active NPI

Texas Neurological & Pain Institute

  • Neurological Surgery Physician
  • Waco, TX
National Provider Identifier
1487601340
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TEXAS NEUROLOGICAL & PAIN INSTITUTE
Practice address
205 Woodhew Dr
Suite 200
Waco, TX 76712-6530
Phone
(254) 776-9775
Fax
(254) 776-9751
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Harold Bruce Hamilton, M.D.
Title
President
Phone
(254) 776-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

205 Woodhew Dr
Suite 200
Waco, TX 76712-6530

Mailing address

205 Woodhew Dr
Suite 200
Waco, TX 76712-6689
Phone (254) 776-9775

Other identifiers 5

IdentifierTypeStateIssuer
182670302MedicaidTX
7086855OtherTXAETNA
0020NROtherTXBLUECROSS BLUESHIELD
611823600OtherTXACS - DEPT OF LABOR
DE9287OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJHAA

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1487601340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WOODHEW DR",
            "address_2": "SUITE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126689",
            "telephone_number": "254-776-9775",
            "fax_number": "254-776-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WOODHEW DR",
            "address_2": "SUITE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126530",
            "telephone_number": "254-776-9775",
            "fax_number": "254-776-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS NEUROLOGICAL & PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-776-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182670302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7086855",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0020NR",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS - DEPT OF LABOR",
            "identifier": "611823600",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9287",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

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