Active NPI
Terry Jackman Beal, M.D.
- Orthopaedic Surgery Physician
- Killeen, TX
National Provider Identifier
1023090024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- F3403
- Practice address
- 2117 S Clear Creek Rd
Killeen, TX 76549-4110 - Phone
- (254) 526-0188
- Fax
- (254) 200-4090
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | F3403 | TX | Primary |
Addresses
Primary practice location
2117 S Clear Creek Rd
Killeen, TX 76549-4110
Mailing address
PO Box 938
Killeen, TX 76540-0938
Phone (254) 634-6999
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742175905001 | Other | TX | TRICARE |
| 85280F | Other | TX | BLUE CROSS BLUE SHIELD |
| 108270100 | Other | TX | FIRST CARE |
| 806541 | Other | TX | GREAT WEST |
| 826203342 | Other | TX | MEDICARE RAILROAD |
| 4409159 | Other | TX | AETNA |
| 120150103 | Medicaid | TX | |
| 83042 | Other | TX | SCOTT & WHITE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1023090024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 938",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765400938",
"telephone_number": "254-634-6999",
"fax_number": "254-200-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2117 S CLEAR CREEK RD",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765494110",
"telephone_number": "254-526-0188",
"fax_number": "254-200-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "TERRY",
"middle_name": "JACKMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "F3403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "742175905001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "85280F",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "108270100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "806541",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "826203342",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4409159",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120150103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCOTT & WHITE",
"identifier": "83042",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.