BRIAN KEITH WILLIS (NPI# 1821014648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821014648 |
| Entity Type | Individual |
| Full Name | BRIAN KEITH WILLIS |
| Credential | M.D. |
| Practice Address |
1002 Texas Blvd Ste 406 Texarkana TX 75501-5113 |
| Practice Telephone | 9037944196 |
| Practice Fax Number | 9037927408 |
| Mailing Telephone | 9037944196 |
| Mailing Fax Number | 9037927408 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | P9030 | TX | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 016892 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1936936 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336568336 | Brian Willis | Day Training, Developmentally Disabled Services | 506 Manchester Expy Ste A, Columbus, GA 31904-6444 | 2014-04-08 |
| 1740538511 | Brian E Willis | Counselor | 5642 Jones St, Milton, FL 32570-2304 | 2012-08-27 |
| 1952660334 | Brian Christopher Willis | Pathology | 1914 Thomson Dr, Lynchburg, VA 24501-1009 | 2012-05-07 |
| 1902913288 | Brian R Willis | Internal Medicine | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2006-08-24 |
| Street Address |
1002 TEXAS BLVD STE 406 |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558413427 | Neurosurgical Associates of Texarkana, Inc. | Neurological Surgery | 1002 Texas Blvd Ste 406, Texarkana, TX 75501-5113 | 2007-01-18 |
| 1508923905 | Elisa F Cruz | Physical Therapist | 1002 Texas Blvd Ste 406, Attention Pt Dept, Texarkana, TX 75501-5113 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665319 | John Brett Dietze | Neurological Surgery | 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503-5228 | 2005-08-02 |
| 1407273287 | Collom and Carney Clinic Association | Neurological Surgery | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2014-03-18 |
| 1871793307 | Neurosurgical Associates of Texarkana | Neurological Surgery | 1002 Texas Blvd, Suite 406, Texarkana, TX 75501-5113 | 2007-07-23 |
| 1558413427 | Neurosurgical Associates of Texarkana, Inc. | Neurological Surgery | 1002 Texas Blvd Ste 406, Texarkana, TX 75501-5113 | 2007-01-18 |
| 1447250659 | Freddie L Contreras | Neurological Surgery | 1002 Texas Blvd, Ste 406, Texarkana, TX 75501-5113 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869003 | Scott B Phillips Pllc | Neurological Surgery | 1303 Mccullough Ave Ste 166, San Antonio, TX 78212-5603 | 2020-07-29 |
| 1710595996 | Laredo Surgical Center | Neurological Surgery | 10410 Medical Loop Bldg 4a, Laredo, TX 78045-6672 | 2020-07-14 |
| 1710506803 | Houston Texas Neurosurgical Institute. Pllc | Neurological Surgery | 925 Gessner Rd Ste 500, Houston, TX 77024-2644 | 2020-04-09 |
| 1760046080 | Adam Franklin Carlton | Neurological Surgery | 301 University Blvd # Mr 0517, Galveston, TX 77555-0517 | 2019-04-23 |
| 1235698911 | South Texas Neurosurgery Associates | Neurological Surgery | 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 | 2019-03-13 |
| 1376009951 | Dallas Center for Neuro and Spine Excellence LLP | Neurological Surgery | 4013 Centenary Ave, Dallas, TX 75225-5430 | 2019-02-19 |
| 1679040414 | Advances Istitute for Joint and Spine Disorders | Neurological Surgery | 6160 Windhaven Pkwy Ste 200, Plano, TX 75093-2138 | 2018-10-30 |
| 1891270989 | Alma Diana Garza | Neurological Surgery | 1139 E Sonterra Blvd Ste 301, San Antonio, TX 78258-4348 | 2018-09-25 |
| 1861975922 | Neurosurgical Group of Texas, LLP | Neurological Surgery | 8731 Katy Fwy Ste 325, Houston, TX 77024-1703 | 2018-09-13 |
| 1508347998 | William T Mccullough Md Pa | Neurological Surgery | 1101 Raintree Cir Ste 12o, Allen, TX 75013-4922 | 2018-08-24 |
| Find all providers with the same taxonomy | ||||
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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.