Provider Demographics
NPI:1376673954
Name:BARRY A. NELMS, M.D., P.A.
Entity Type:Organization
Organization Name:BARRY A. NELMS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:NELMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-795-9700
Mailing Address - Street 1:5420 WEST LOOP S
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2107
Mailing Address - Country:US
Mailing Address - Phone:713-795-9700
Mailing Address - Fax:713-795-9701
Practice Address - Street 1:5420 WEST LOOP S
Practice Address - Street 2:SUITE 2400
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2107
Practice Address - Country:US
Practice Address - Phone:713-795-9700
Practice Address - Fax:713-795-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1850207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25128Medicare UPIN
TX00492XMedicare ID - Type Unspecified