NPIMap

Organization Active NPI

Graham Emergency Services

Doing business as Graham General Hospital Physicians

  • Orthopaedic Surgery Physician
  • Graham, TX
National Provider Identifier
1801054200
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
GRAHAM EMERGENCY SERVICES
Doing business as
Graham General Hospital Physicians
Practice address
1301 Montgomery Rd
Graham, TX 76450-4240
Phone
(940) 549-3400
NPI assigned
Jun 2, 2008
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Robert Shane Kernell
Title
Ceo
Phone
(940) 549-3400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Physical Medicine & Rehabilitation Physician 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Surgery Physician 208600000X

Addresses

Primary practice location

1301 Montgomery Rd
Graham, TX 76450-4240

Mailing address

PO Box 1390
Graham, TX 76450-1390

Other practice location 1

217 W Belknap St
Jacksboro, TX 76458-2307
Phone (940) 521-5288

Other identifiers 2

IdentifierTypeStateIssuer
094053801MedicaidTX
171185503MedicaidTX

Other names 2

  • Graham General Hospital Physicians Doing business as
  • Graham Emergency Services, Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000162 TX Part B Supplier - Clinic/Group Practice 6608043252 Receives reassigned benefits from 10 practitioners
Practice locations: Graham, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1801054200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764501390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MONTGOMERY RD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504240",
            "telephone_number": "940-549-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 W Belknap St",
            "address_purpose": "LOCATION",
            "city": "Jacksboro",
            "state": "TX",
            "postal_code": "764582307",
            "country_code": "US",
            "telephone_number": "940-521-5288",
            "fax_number": "940-521-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAHAM EMERGENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "KERNELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-549-3400"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094053801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171185503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham General Hospital Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graham Emergency Services, Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Graham Emergency Services, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.