Individual provider Active NPI

Charles Hickman Railsback, M.D.

  • Specialist
  • Bedford, TX
National Provider Identifier
1639150832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D6136 Issued in TX
Practice address
1615 Hospital Pkwy
Ste. 210
Bedford, TX 76022-5934
Phone
(817) 540-3121
Fax
(817) 355-4511
NPI assigned
Nov 7, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D6136 TX Primary

Addresses

Primary practice location

1615 Hospital Pkwy
Ste. 210
Bedford, TX 76022-5934

Mailing address

2520 Norwood Dr
Hurst, TX 76054-2736
Phone (817) 498-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000134 TX Practitioner - Otolaryngology 3375610686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostex Consultants PLLC CurrentSince Feb 1, 2020 Accepting new patients
Patheous Medical PLLC Past Accepting new patients
Diagnostex, LLC Specialist Past Accepting new patients
Family Healthcare Associates Past Accepting new patients

Locations

500 Grapevine Hwy
Ste 106
Hurst, TX 76054
Phone (817) 514-6271

8913 Mid Cities Blvd
Ste 100
North Richland Hills, TX 76182
Phone (817) 514-6271

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639150832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NORWOOD DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542736",
            "telephone_number": "817-498-0928",
            "fax_number": "817-355-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY",
            "address_2": "STE. 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225934",
            "telephone_number": "817-540-3121",
            "fax_number": "817-355-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAILSBACK",
        "first_name": "CHARLES",
        "middle_name": "HICKMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D6136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.