BOBBY GORDON NIEMAN (NPI# 1558456913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558456913 |
| Entity Type | Individual |
| Full Name | BOBBY GORDON NIEMAN |
| Credential | L. P .C. |
| Practice Address |
1500 Norwood Dr Ste 205b Hurst TX 76054-3644 |
| Mailing Address |
608 Autumn Leaves Trail Irving TX 75060-2004 |
| Practice Telephone | 8177296333 |
| Practice Fax Number | 8172821683 |
| Mailing Telephone | 9727900032 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
11725 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD | 2253LC | 01 |
| TX | LP0008546 | 05 | |
| CA | MANAGED HEALTH NETWORK | 221762 | 01 |
| Street Address |
1500 NORWOOD DR STE 205B |
| City | HURST |
| State | TX |
| Zip Code | 76054-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942856224 | Nancy Lopez | Speech-Language Pathologist | 6168 Bentridge Rd, Hurst, TX 76054 | 2019-08-13 |
| 1942771134 | James L Thomason Md | Psychiatry & Neurology | 769 Lonesome Dove Trail, Hurst, TX 76054 | 2018-12-16 |
| 1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
| 1922555234 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 809 W Harwood Rd Ste 103, Hurst, TX 76054 | 2016-09-02 |
| 1427422765 | Stephen Craig Sims | Dentist | 1725 Cimarron Trail, Suite 1, Hurst, TX 76054 | 2015-11-24 |
| 1629464342 | Meredith Drake | Pediatrics | 731 Martin Road, Hurst, TX 76054 | 2015-04-09 |
| 1104236454 | Jessica Shepard,ma,lpc | Counselor | 1817 Harwood Court, Hurst, TX 76054 | 2014-05-07 |
| 1801225016 | Hearing Essentials of Texas, Inc. | Clinic/Center | 672 Grapevine Hwy, Hurst, TX 76054 | 2013-11-07 |
| 1265787337 | Sarah Michele Talbott | Optometrist | 2817 Hurstview Dr., Hurst, TX 76054 | 2012-07-16 |
| 1174801617 | Robert Harry Levy | Dentist | 828 Harwood Rd, Tarrant County College Dental Hygiene Program, Hurst, TX 76054 | 2011-08-02 |
| Find all providers in zip 76054 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273288 | Brit Fahey | Counselor | 209 Montreal Dr, Hurst, TX 76054-2216 | 2020-07-28 |
| 1629605530 | Stacy Keck | Counselor | 1237 Southridge Ct Ste 100b, Hurst, TX 76053-4393 | 2020-03-23 |
| 1326687013 | Risper Ngumba | Counselor | 669 Airport Fwy Ste 302, Hurst, TX 76053-3963 | 2019-12-30 |
| 1851793798 | Anna Marie Hoover | Counselor | 1509 Sotogrande Blvd Apt 147, Hurst, TX 76053-8147 | 2014-09-23 |
| 1104236454 | Jessica Shepard,ma,lpc | Counselor | 1817 Harwood Court, Hurst, TX 76054 | 2014-05-07 |
| 1508298357 | Shirley Moxley | Counselor | 1336 Cavender Dr, Hurst, TX 76053-4002 | 2013-08-04 |
| 1699044248 | Nevart Willborn | Counselor | 625 Grapevine Hwy, Hurst, TX 76054-2757 | 2011-12-27 |
| 1043547722 | Restore Counseling Center, LLC | Counselor | 1240 Southridge Ct, Ste 105, Hurst, TX 76053-4306 | 2009-11-17 |
| 1568797140 | Allison C Huffstetler | Counselor | 1864 N. Norwood Drive, Suite D, Hurst, TX 76054 | 2009-10-15 |
| 1184959496 | Diana Staples | Counselor | 1749 Westridge Dr, Hurst, TX 76054-3711 | 2009-10-05 |
| Find all providers in HURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.