Gary L. Becker, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

E0804 Issued in TX

Practice address

6600 Fish Pond Rd
Suite 201
Waco, TX 76710-2581

Phone

(254) 752-9638

Fax

(254) 752-2201

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1023084639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-752-9638",
            "fax_number": "254-752-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-752-9638",
            "fax_number": "254-752-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "GARY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TX",
            "license": "E0804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089821501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Beaty, M.D.
• Wilson Lewis Beaverstock
• John Russell Bebeau, DO
• Jason Thomas Beck, D.D.S., M.D.
• Brian K Becker, MD
• Julia M. Becker, PSY.D..
• Lawrence Charles Becker, LCSW
• Cheryl Beden, REGISTERED NURSE
• Nancy McBryde Bednarz, MD
• Paul Anthony Bednarz, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Waco, TX
• Providers in Waco, TX by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.