Biotronics Kidney Center of Beaumont, Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

007139 Issued in TX

Legal business name

BIOTRONICS KIDNEY CENTER OF BEAUMONT, INC

Doing business as

Biotronics Kidney Center of Orange, Inc

Practice address

1301 Martin Luther King Jr Dr #B
Orange, TX 77630-9000

Phone

(409) 886-7714

NPI assigned

Aug 17, 2006

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen M Lee

Title

Treasurer

Phone

(409) 892-1003

Specialties & licenses 1

Addresses

Other names 1

• Biotronics Kidney Center of Orange, Inc Doing business as

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1003920356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777267464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MARTIN LUTHER KING JR DR #B",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776309000",
            "telephone_number": "409-886-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOTRONICS KIDNEY CENTER OF BEAUMONT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "409-892-1003"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "007139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biotronics Kidney Center of Orange, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Danielle Beaudoin, RN
• Beltone Hearing Centers
• Ryanne Lunceford Berlin
• Sylvia Dale Bickham
• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care Orange)
• Josh Bland, HIS
• Nicole Block
• Allisha Gayle Skinner Bonneaux, MED,LPC
• Malinda Charisse Boudreaux, LPC
• Reatha Jeannette Bradberry I, FNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Orange, TX
• Providers in Orange, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.