Organization Active NPI

North Texas Institute of Neurology and Headache, PA

  • Neurological Surgery Physician
  • Plano, TX
National Provider Identifier
1609101906
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N1159 Issued in TX
Legal business name
NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHE, PA
Practice address
6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181
Phone
(972) 403-8184
Fax
(972) 403-0685
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Bryan M M Brown
Title
Ceo
Phone
(972) 453-1879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X N1159 TX Primary

Addresses

Primary practice location

6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181

Mailing address

6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181
Phone (972) 403-8184

Other practice location 1

5150 Warren Pkwy Bldg 8
Frisco, TX 75034-7462
Phone (972) 403-8184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091110000378 TX Part B Supplier - Clinic/Group Practice 7810035987 Receives reassigned benefits from 8 practitioners
Practice locations: Frisco, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

5729 Lebanon Rd
Ste 144425
Frisco, TX 75034

5425 W Spring Creek Pkwy
Ste 275
Plano, TX 75024
Phone (972) 403-8184

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1609101906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244181",
            "telephone_number": "972-403-8184",
            "fax_number": "972-403-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244181",
            "telephone_number": "972-403-8184",
            "fax_number": "972-403-0685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Warren Pkwy Bldg 8",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750347462",
            "country_code": "US",
            "telephone_number": "972-403-8184",
            "fax_number": "972-403-0685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "M BROWN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-453-1879"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.