Individual provider Active NPI

Gene P Ream, M.D.

  • Dermatology Physician
  • Euless, TX
National Provider Identifier
1013962109
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E1242 Issued in TX
Practice address
350 Westpark Way
Suite 206
Euless, TX 76040-3739
Phone
(817) 571-5879
Fax
(817) 571-5328
NPI assigned
May 24, 2006
Last updated
Oct 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E1242 TX Primary

Addresses

Primary practice location

350 Westpark Way
Suite 206
Euless, TX 76040-3739

Mailing address

350 Westpark Way
Suite 206
Euless, TX 76040-3739
Phone (817) 571-5879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1242TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D Pedro MD PA Past Accepting new patients
C M Persons M D P a PastSince Mar 8, 2011 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11210/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1013962109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "SUITE 206",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403739",
            "telephone_number": "817-571-5879",
            "fax_number": "817-571-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "SUITE 206",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403739",
            "telephone_number": "817-571-5879",
            "fax_number": "817-571-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAM",
        "first_name": "GENE",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.