Individual provider Active NPI

Mark H Bussell, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1922041599
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J0452 Issued in TX
Practice address
6116 Oakbend Trail
112
Ft Worth, TX 76132-3926
Phone
(817) 346-7800
Fax
(817) 346-7408
NPI assigned
Jun 13, 2006
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J0452 TX Primary

Addresses

Primary practice location

6116 Oakbend Trail
112
Ft Worth, TX 76132-3926

Mailing address

6901 River Park Circle
Ft Worth, TX 76116-8465
Phone (817) 732-0800

Other identifiers 1

IdentifierTypeStateIssuer
153003202MedicaidTX

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
I20101119000210 TX Practitioner - Physical Medicine and Rehabilitation 5193899748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Illinois Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6116 Oakbend Trail
Suite 112
Fort Worth, TX 76132-3926

6116 Oakbend TRL
Suite 112
Ft Worth, TX 76132-3926
Phone (817) 346-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0452TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark H Bussell MD Cpo PA Physical Medicine & Rehabilitation CurrentSince Sep 1, 1995 Accepting new patients
North Texas Injury and Wellness PLLC Physical Medicine & Rehabilitation CurrentSince Dec 7, 2019 Accepting new patients
Tarrant County Institute of Physical Medicine LLP Physical Medicine & Rehabilitation PastSince Jul 26, 2014 Accepting new patients
Texas Center of Chiropractic Orthopedics, LLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of Arlington LLC Past Accepting new patients

Locations

6024 Southwest Blvd
Benbrook, TX 76109
Phone (817) 738-9777

6431 Southwest Blvd
Benbrook, TX 76132
Phone (682) 428-9922

6116 Oakbend Trl
Ste 112
Ft Worth, TX 76132
Phone (817) 346-7800

6701 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 332-7650

6901 River Park Cir
Ft Worth, TX 76116

Interoperability endpoints

  • Direct secure messaging: mark.bussell@ntiawp-tx.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1922041599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 RIVER PARK CIRCLE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761168465",
            "telephone_number": "817-732-0800",
            "fax_number": "817-956-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 OAKBEND TRAIL",
            "address_2": "112",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323926",
            "telephone_number": "817-346-7800",
            "fax_number": "817-346-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSELL",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J0452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153003202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.