Active NPI
Charles Hickman Railsback, M.D.
- Specialist
- Bedford, TX
National Provider Identifier
1639150832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D6136
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostex Consultants PLLC | Current | 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.
-
- Family Medicine Physician
- Hurst, TX
- NPI 1003134024
-
- Specialist
- Bedford, TX
- NPI 1669487492
-
- Family Medicine Physician
- Arlington, TX
- NPI 1831159466
-
- Diagnostic Radiology Physician
- Leawood, KS
- NPI 1366121527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.