Active NPI
Mark H Bussell, MD
- Physical Medicine & Rehabilitation Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- J0452
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153003202 | 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| J0452 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark H Bussell MD Cpo PA | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| North Texas Injury and Wellness PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Tarrant County Institute of Physical Medicine LLP | Physical Medicine & Rehabilitation | Past | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Fort Worth, TX
- NPI 1376763946
-
- Physical Medicine & Rehabilitation Physician
- Benbrook, TX
- NPI 1700428901
-
- Physical Medicine & Rehabilitation Physician
- Fort Worth, TX
- NPI 1447669312
-
dba Encompass Health Rehabilitation Hospital of Arlington
- Rehabilitation Hospital
- Arlington, TX
- NPI 1821062050
-
- Orthopedic Chiropractor
- Benbrook, TX
- NPI 1770847071
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Encompass Health Rehabilitation Hospital of Arlington
- Rehabilitation Hospital
- Arlington, TX
- NPI 1821062050
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.