Individual provider Active NPI

Beverly Brown Bishop, MD

  • Ophthalmology Physician
  • Cedar Hill, TX
National Provider Identifier
1003901703
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K3101 Issued in TX
Practice address
634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone
(972) 637-1300
Fax
(866) 353-7586
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K3101 TX Primary

Addresses

Primary practice location

634 Uptown Blvd
Cedar Hill, TX 75104-3507

Mailing address

634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone (972) 637-1300

Other identifiers 11

IdentifierTypeStateIssuer
0898808OtherAETNA HMO
0898808OtherAETNA POS
180028816OtherTXMEDICARE RR DALLAS COUNTY
0016DQOtherTXBCBS GROUP
86772XOtherTXBCBS PROVIDER ID
122177205MedicaidTX
5248549OtherAETNA PPO
180034452OtherTXMEDICARE RR ELLIS COUNTY
4146505OtherBCBD BLUE LINK
122177206MedicaidTX
UNITED HEALTHCAREOther751622524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081215000745 TX Practitioner - Ophthalmology 0648332312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of Texas PAGroup PAC ID 6204998974, 5 clinicians

Practice addresses (Care Compare)

634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone (972) 637-1300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3101TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Texas, PA Ophthalmology CurrentSince Jan 1, 2009 Accepting new patients
Eyecare Associates of Texas, PA PastSince Jan 1, 2009 Accepting new patients

Locations

634 Uptown Blvd
Cedar Hill, TX 75104
Phone (972) 296-2929

907 S Main St
Ste 203
Duncanville, TX 75137
Phone (972) 296-2929

507 W Crossland Blvd
Grand Prairie, TX 75052
Phone (972) 296-2929

1408 N 9th St
Midlothian, TX 76065
Phone (972) 296-2929

Interoperability endpoints

  • Direct secure messaging: beverly.bishop@direct.texaseyes.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1003901703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BEVERLY",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K3101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0898808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA POS",
            "identifier": "0898808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR DALLAS COUNTY",
            "identifier": "180028816",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0016DQ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "86772X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122177205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5248549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR ELLIS COUNTY",
            "identifier": "180034452",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBD BLUE LINK",
            "identifier": "4146505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122177206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "751622524",
            "identifier": "UNITED HEALTHCARE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.