Active NPI
Kevin Bernard James, M. D.
- Orthopaedic Surgery of the Spine Physician
- Southlake, TX
National Provider Identifier
1669530267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- M4201
- Practice address
- 261 W Southlake Blvd
Southlake, TX 76092-7046 - Phone
- (817) 310-8783
- Fax
- (855) 640-3872
- NPI assigned
- Dec 5, 2006
- Last updated
- Sep 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M4201 | TX | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | M4201 | TX | Primary |
Addresses
Primary practice location
261 W Southlake Blvd
Southlake, TX 76092-7046
Mailing address
101 Cleary CT
Southlake, TX 76092-2315
Phone (214) 502-9340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194239301 | Medicaid | TX | |
| 8AR030 | Other | TX | BCBS |
| 194239302 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Baylor College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
261 W Southlake Blvd
Southlake, TX 76092-7046
Phone (817) 310-8783
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 42 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4201 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine Solutions PA | Current | Accepting new patients | |
| Advanced Spine Solutions PA | Current | Accepting new patients |
Locations
1713 S FM 51
Ste 103
Decatur, TX 76234
Phone (940) 627-2570
261 W Southlake Blvd
Southlake, TX 76092
Phone (817) 310-8783
2813 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (682) 345-8010
Interoperability endpoints
- advancedspinesolutions.kevinjames@119778.advancedmd-direct.com
- dmckjames@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Clinic/Center
- Southlake, TX
- NPI 1235308578
-
- Clinic/Center
- Keller, TX
- NPI 1801136155
-
- Orthopaedic Surgery of the Spine Physician
- Southlake, TX
- NPI 1710894779
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Grapevine
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
dba Baylor Scott & White Medical Center - Trophy Club
- General Acute Care Hospital
- Trophy Club, TX
- NPI 1982609558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1669530267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CLEARY CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760922315",
"telephone_number": "214-502-9340",
"fax_number": "855-640-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 W SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927046",
"telephone_number": "817-310-8783",
"fax_number": "855-640-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "KEVIN",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "M4201",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "M4201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194239301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AR030",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194239302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.