Individual provider Active NPI

Edward J Fox, M.D. PH.D.

  • Specialist
  • Round Rock, TX
National Provider Identifier
1871528042
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H8048 Issued in TX
Practice address
16040 Park Valley Dr
Building B, Suite 100
Round Rock, TX 78681-3578
Phone
(512) 218-1222
Fax
(512) 218-1393
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H8048 TX
Specialist 174400000X H8048 TX Primary

Addresses

Primary practice location

16040 Park Valley Dr
Building B, Suite 100
Round Rock, TX 78681-3578

Mailing address

16040 Park Valley Dr
Building B, Suite 100
Round Rock, TX 78681-3578
Phone (512) 218-1222

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
I20130830000022 TX Practitioner - Neurology 2769495209 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Neurology Consultants, PA Specialist CurrentSince Jan 16, 1991 Accepting new patients

Locations

16040 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 218-1222

16040 Park Valley Dr
Bldg B100
Round Rock, TX 78681
Phone (512) 218-1222

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1871528042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 PARK VALLEY DR",
            "address_2": "BUILDING B, SUITE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813578",
            "telephone_number": "512-218-1222",
            "fax_number": "512-218-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 PARK VALLEY DR",
            "address_2": "BUILDING B, SUITE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813578",
            "telephone_number": "512-218-1222",
            "fax_number": "512-218-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H8048",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H8048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.