LONGHORN BRAIN AND SPINE PLLC
NPI 1053996447
Neurological Surgery in Fort Worth, TX

Active since March 16, 2021
1001 12TH AVE STE 168, FORT WORTH, TX 76104(682) 337-7463(682) 337-7464 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2025, Mar 17, 2021 (2 updates tracked since 2021).

About Longhorn Brain And Spine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGHORN BRAIN AND SPINE PLLC (NPI 1053996447) is a healthcare organization registered as a neurological surgery in Fort Worth, Texas and active in the NPI registry since March 2021. The organization lists Grant Allen Booher, President, as its authorized official.

NPPES Registry Identity

NPI1053996447
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameLONGHORN BRAIN AND SPINE PLLC
Location Address1001 12TH AVE STE 168Fort Worth, TX 76104-3947
Mailing AddressPo Box 185Fort Worth, TX 76101-0185 · (682) 337-7463
Fax(682) 337-7464
Organization SubpartNo
Authorized OfficialGrant Allen BooherPresident · (682) 337-7463
Enumeration DateMarch 16, 2021
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1053996447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1001 12TH AVE STE 168, Fort Worth, TX 76104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longhorn Brain And Spine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Longhorn Brain And Spine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Neurosurgery
NPI 1982963591
1001 12TH AVE STE 168
Fort Worth, TX 76104
(682) 337-7463
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649058413
1001 12TH AVE STE 168
Fort Worth, TX 76104
(682) 337-7463
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longhorn Brain And Spine PLLC's NPI number?

The NPI number for Longhorn Brain And Spine PLLC is 1053996447. It was assigned to this organization in the NPPES registry on March 16, 2021.

Where is Longhorn Brain And Spine PLLC located?

Longhorn Brain And Spine PLLC is located at 1001 12th Ave Ste 168, Fort Worth, TX 76104. The listed phone number is (682) 337-7463.

What is Longhorn Brain And Spine PLLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Longhorn Brain And Spine PLLC enrolled in Medicare?

Yes. Longhorn Brain And Spine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longhorn Brain And Spine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Longhorn Brain And Spine PLLC, in Neurosurgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Longhorn Brain And Spine PLLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.