Organization Active NPI

Ms Neurological Center, PLLC

  • Psychiatry Physician
  • Bedford, TX
National Provider Identifier
1801107263
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J7995 Issued in TX
Legal business name
MS NEUROLOGICAL CENTER, PLLC
Practice address
1604 Hospital Pkwy
Suite 200
Bedford, TX 76022-6986
Phone
(817) 685-4485
Fax
(817) 685-4490
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Stephen Hurlbut, M.D.NPI 1699750836
Title
President
Phone
(817) 685-4485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X J7995 TX Primary

Addresses

Primary practice location

1604 Hospital Pkwy
Suite 200
Bedford, TX 76022-6986

Mailing address

1915 Parktree Dr
Arlington, TX 76001-5689
Phone (817) 685-4485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000749 TX Part B Supplier - Clinic/Group Practice 8123275526 Receives reassigned benefits from 4 practitioners
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

1604 Hospital Pkwy
Ste 307
Bedford, TX 76022
Phone (817) 545-0900

Practitioners & affiliated clinicians

Practitioners 4

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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1801107263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 PARKTREE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015689",
            "telephone_number": "817-685-4485",
            "fax_number": "817-685-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY",
            "address_2": "SUITE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226986",
            "telephone_number": "817-685-4485",
            "fax_number": "817-685-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS NEUROLOGICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "HURLBUT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-685-4485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J7995",
            "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 Jun 30, 2010; 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.