| Kane Hall Barry Neurology | |
|
1305 Airport Fwy Ste 205 Bedford TX 76021-6606 | |
| (817) 267-6290 | |
| (817) 267-0950 |
| Full Name | Kane Hall Barry Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1305 Airport Fwy Ste 205, Bedford, Texas |
| Authorized Official Name and Position | Terri Brewen (IT SUPPORT) |
| Authorized Official Contact | 8172676290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kane Hall Barry Neurology 1305 Airport Fwy Ste 205 Bedford TX 76021-6606 Ph: (817) 267-6290 | Kane Hall Barry Neurology 1305 Airport Fwy Ste 205 Bedford TX 76021-6606 Ph: (817) 267-6290 |
| NPI Number | 1023119336 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 0749379592 |
|---|---|
| Medicare Enrollment ID | O20071203000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023119336 | NPI | - | NPPES |
| 084872301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | James M Barry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952304743 PECOS PAC ID: 3971496837 Enrollment ID: I20040204000745 |
| Provider Name | Jerome Marc Kane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558364232 PECOS PAC ID: 3476646332 Enrollment ID: I20100812000663 |
| Provider Name | Srirekha Maddukuri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952591059 PECOS PAC ID: 8123192879 Enrollment ID: I20130506000417 |
| Provider Name | Nirav Chandrakant Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588982664 PECOS PAC ID: 0345488185 Enrollment ID: I20150808015727 |
| Provider Name | Deborah Stapel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316910706 PECOS PAC ID: 6406985571 Enrollment ID: I20151218000413 |
| Provider Name | Sharique A Ansari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891944617 PECOS PAC ID: 9436300092 Enrollment ID: I20160602000171 |
| Provider Name | Jessica Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790940807 PECOS PAC ID: 9537237235 Enrollment ID: I20170330000071 |
| Provider Name | Hassan Arif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528391547 PECOS PAC ID: 6608092671 Enrollment ID: I20190214001494 |
| Provider Name | Sandeep Kahlon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629381041 PECOS PAC ID: 6002056314 Enrollment ID: I20190926000548 |
| Provider Name | Syed Afzal Hussain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346404803 PECOS PAC ID: 2567787922 Enrollment ID: I20220414001251 |
| Provider Name | Muna Basnet Bhattarai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306304845 PECOS PAC ID: 5294164851 Enrollment ID: I20220707001819 |
| Provider Name | Chen Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285138289 PECOS PAC ID: 3375877525 Enrollment ID: I20230522000641 |
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