FORT WORTH BRAIN & SPINE INSTITUTE, LLP
NPI 1770503237
Neurological Surgery in Fort Worth, TX

Active since July 20, 2006
1900 MISTLETOE BLVD, SUITE 200, FORT WORTH, TX 76104(817) 878-5333(817) 878-5334 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fort Worth Brain & Spine Institute, Llp NPPES

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

FORT WORTH BRAIN & SPINE INSTITUTE, LLP (NPI 1770503237) is a healthcare organization registered as a neurological surgery in Fort Worth, Texas and active in the NPI registry since July 2006. The organization lists Thomas S Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1770503237
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameFORT WORTH BRAIN & SPINE INSTITUTE, LLP
Location Address1900 MISTLETOE BLVD, SUITE 200Fort Worth, TX 76104-4014
Mailing Address1900 Mistletoe Blvd, Suite 200Fort Worth, TX 76104-4014 · (817) 878-5333 · Fax (817) 878-5334
Fax(817) 878-5334
Organization SubpartNo
Authorized OfficialThomas S EllisPresident · (817) 878-5333
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 21, 2014
✔ NPI 1770503237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in TX · 61650301
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.
1900 MISTLETOE BLVD, Fort Worth, TX 76104

Other Identifiers 3

Other158682801TX · Tpi
OtherDA1062TX · Railroad Medicare
Medicare PIN00838UTX

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Worth Brain & Spine Institute, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20111020000430DME · Physician - NeurosurgeryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Fort Worth Brain & Spine Institute, LLP, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Neurosurgery7
Nurse Practitioner6
Physical Medicine and Rehabilitation1

Clinicians, nearest first (14)

Neurosurgery
NPI 1033138011
1900 MISTLETOE BLVD SUITE 200
Fort Worth, TX 76104
(817) 878-5333
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1467488288
1900 MISTLETOE BLVD STE 200
Fort Worth, TX 76104
(817) 878-5333
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1629004445
1900 MISTLETOE BLVD STE 200
Fort Worth, TX 76104
(817) 878-5333
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912284951
1900 MISTLETOE BLVD STE 200
Fort Worth, TX 76104
(817) 878-5333
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1891735684
1900 MISTLETOE BLVD STE 200
Fort Worth, TX 76104
(817) 878-5333
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1598942609
1900 MISTLETOE BLVD STE 200
Fort Worth, TX 76104
(817) 878-5333
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881072593
1900 MISTLETOE BLVD STE 200
Fort Worth, TX 76104
(817) 878-5333
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1144436585
1400 8TH AVE STE A1131
Fort Worth, TX 76104
(817) 912-9250
✔ PECOS✔ Accepts Medicare0.2 mi
Neurosurgery
NPI 1982963591
1001 12TH AVE STE 168
Fort Worth, TX 76104
(682) 337-7463
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1255160610
4005 RUFE SNOW DR
North Richland Hills, TX 76180
(682) 238-1797
✔ PECOS✔ Accepts Medicare8.9 mi
Physical Medicine and Rehabilitation
NPI 1033424932
7235 BOAT CLUB RD
Ft Worth, TX 76179
(817) 677-9535
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1437870169
215 OLD HIGHWAY 1187
Burleson, TX 76028
(817) 926-2663
✔ PECOS11 mi
Nurse Practitioner
NPI 1447657895
5414 BOWSER AVE
Dallas, TX 75209
(888) 322-6432
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1750152138
4940 CHARLES KATZ FL 4
San Antonio, TX 78229
(210) 450-9700
✔ PECOS✔ Accepts Medicare233 mi

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 Fort Worth Brain & Spine Institute, LLP's NPI number?

The NPI number for Fort Worth Brain & Spine Institute, LLP is 1770503237. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Fort Worth Brain & Spine Institute, LLP located?

Fort Worth Brain & Spine Institute, LLP is located at 1900 Mistletoe Blvd Suite 200, Fort Worth, TX 76104. The listed phone number is (817) 878-5333.

What is Fort Worth Brain & Spine Institute, LLP's specialty?

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

Is Fort Worth Brain & Spine Institute, LLP enrolled in Medicare?

Yes. Fort Worth Brain & Spine Institute, LLP is registered in the Medicare PECOS enrollment system.

When is Fort Worth Brain & Spine Institute, LLP's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Texas, Physician - Neurosurgery) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fort Worth Brain & Spine Institute, LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Fort Worth Brain & Spine Institute, LLP. 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. The largest specialties are Neurosurgery (7), Nurse Practitioner (6) and Physical Medicine and Rehabilitation (1). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Worth Brain & Spine Institute, LLP was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.