Organization Active NPI

Total Neurology of the Gulf Coast, PA

  • Clinical Neurophysiology Physician
  • Lake Jackson, TX
National Provider Identifier
1508007741
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
K7655 Issued in TX
Legal business name
TOTAL NEUROLOGY OF THE GULF COAST, PA
Practice address
201 Oak Dr S
Suite 201
Lake Jackson, TX 77566-5676
Phone
(979) 480-0990
Fax
(979) 480-0980
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Lyndon F. Barnwell, MDNPI 1205827516
Title
Owner
Phone
(979) 480-0990

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X K7655 TX
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X K7655 TX Primary

Addresses

Primary practice location

201 Oak Dr S
Suite 201
Lake Jackson, TX 77566-5676

Mailing address

201 Oak Dr S
Suite 201
Lake Jackson, TX 77566-5676
Phone (979) 480-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000311 TX Part B Supplier - Clinic/Group Practice 2769530294 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Jackson, TX

National Provider Directory

National Provider Directory

Locations

135 Oyster Creek Dr
Ste F
Lake Jackson, TX 77566
Phone (979) 297-7000

201 Oak Dr S
Ste 201
Lake Jackson, TX 77566
Phone (979) 480-0990

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": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1508007741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 201",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-480-0990",
            "fax_number": "979-480-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "SUITE 201",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665676",
            "telephone_number": "979-480-0990",
            "fax_number": "979-480-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL NEUROLOGY OF THE GULF COAST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BARNWELL",
        "authorized_official_first_name": "LYNDON",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-480-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K7655",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "K7655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.