Provider Demographics
NPI:1902972250
Name:NELMS, BARRY ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:ALLEN
Last Name:NELMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1850207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25128Medicare UPIN
TX8C7023Medicare ID - Type Unspecified