Active NPI
Phillip Neal Freeman, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Beaumont, TX
National Provider Identifier
1033207097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 26173
- Practice address
- 4179 Dowlen Rd
Beaumont, TX 77706-6852 - Phone
- (409) 227-1653
- Fax
- (409) 899-4868
- NPI assigned
- Oct 11, 2006
- Last updated
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 26173 | TX | Primary |
| Specialist | 174400000X | G9851 | TX |
Addresses
Primary practice location
4179 Dowlen Rd
Beaumont, TX 77706-6852
Mailing address
168 Spyglass Park LN
Montgomery, TX 77316-1453
Phone (713) 398-4822
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26173 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
| G9851 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physicians Association, PLLC | Past | Accepting new patients | |
| The Woodlands Skin Surgery Center PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.
-
dba Millennium Oncology
- Multi-Specialty Clinic/Center
- The Woodlands, TX
- NPI 1255397733
-
- MOHS-Micrographic Surgery Physician
- The Woodlands, TX
- NPI 1396074134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1033207097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 SPYGLASS PARK LN",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773161453",
"telephone_number": "713-398-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4179 DOWLEN RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066852",
"telephone_number": "409-227-1653",
"fax_number": "409-899-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "PHILLIP",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "26173",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G9851",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Linda Frederick, M.ED., L.P.C.
- Freedom Orthotics & Prosthetics
- Freedom Prosthetics and Orthotics, Inc. (Freedom Orthotics and Prosthetics)
- Catherine Freeman
- Cynthia S Freeman, PT, DPT
- Karen Marie French, LMT
- Frio Hospital District (Harmony Care at Beaumont)
- Yanara Frometa Perez, RN,FNP-C
- Rebecca Fronzaglio
- Shannon Frugia, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.