BEBD TELEHEALTH (NPI# 1730731688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730731688 |
Entity Type | Organization |
Organization Name | BEBD TELEHEALTH |
Other Organization Name | BEBD TELEHEALTH |
Practice Address |
2009 Tremont Ave Fort Worth TX 76107-3959 |
Practice Telephone | 8174373077 |
Mailing Telephone | 8174373077 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-12-20 |
Authorized Official Name | SUSAN BRADDOCK (CEO) |
Authorized Official Telephone | 8174373077 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
BEBD Telehealth | Doing Business As Name - Organization |
BIg Easy Bad Dog LLC | Doing Business As Name - Organization |
Street Address |
2009 TREMONT AVE |
City | FORT WORTH |
State | TX |
Zip Code | 76107-3959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
1821594045 | Goshen Family Clinic, Inc. | Clinic/Center | 5225 Hunters Ridge Rd, # 715, Fort Worth, TX 76132-1853 | 2018-04-05 |
1629527312 | Midtown Medical Imaging - Alliance | Clinic/Center | 9557 N. Beach St., Suite 101, Fort Worth, TX 76244 | 2016-09-23 |
1497008411 | Dr Mark Smith Pa | Clinic/Center | 7100 Oakmont Blvd. # 108, Fort Worth, TX 76132-3908 | 2012-10-16 |
1033461017 | Dr. Mark Smith Pa | Clinic/Center | 7100 Oakmont Bvld Suite 108, Fort Worth, TX 76132-3908 | 2012-10-15 |
1407049034 | University Family Medical Clinic P.a. | Clinic/Center | 117 University Dr, Fort Worth, TX 76107-1922 | 2007-08-27 |
1912045279 | Hmr Management Corporation | Clinic/Center | 901 W Leuda St, Fort Worth, TX 76104-3003 | 2007-02-01 |
1952396004 | Motus Center, Inc. | Clinic/Center | 3857 Washburn Ave, Fort Worth, TX 76107-3954 | 2005-09-14 |
1326539552 | Frontier Medical House Call Service LLC | Clinic/Center | 308 Autumn Park, Fort Worth, TX 76140 | 2018-05-23 |
1336660273 | Taylor Made Integrative Therapy | Clinic/Center | 2600 Alemeda St Ste 201, Fort Worth, TX 76108-4042 | 2017-06-30 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76107 |
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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.