Benbrook Neurology – Neurology Physician, NPI 1033295142

Benbrook Neurology is a healthcare provider. based in Fort worth, Texas. specializing in Neurology Physician. The organization holds a License No. K9809 (TX). The NPI Number for Benbrook Neurology is 1033295142

Main info

Organization
Name
Benbrook Neurology
NPI
1033295142
Phone
(817) 615-9496
Address
5801 OAKBEND TRL STE 270
Authorized Official
EDWARD EARL ICAZA PRESIDENT MD
Enumeration Date
31 October 2006
Last Update Date
13 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Benbrook Neurology

  • 5801 OAKBEND TRL STE 270

    FORT WORTH, TX 761323922

    Phone: (817) 615-9496

    Type: Mailing

  • Katy Freeway, Katy, Fort Bend County, Texas, 77493, United States

    #405

    KATY, TX 77494

    Phone: (832) 437-8375

    Fax: (832) 437-2813

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060424000511OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76132)

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Reviews

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Frequently asked questions

Can I cross-check Benbrook Neurology using NPI 1033295142?
NPI 1033295142 belongs to Benbrook Neurology; compare other details if you need extra assurance.
Active or inactive — what applies to Benbrook Neurology?
You should see Benbrook Neurology as active in CMS-hosted NPPES data.
What clinical focus is listed for Benbrook Neurology?
At a glance, Benbrook Neurology is tied to Neurology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Benbrook Neurology registered?
Use Fort Worth, Texas as the headline location for Benbrook Neurology here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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