Texas Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

L0026 Issued in TX

Legal business name

TEXAS GASTROENTEROLOGY PLLC

Practice address

203 Walls Dr Ste 209
Cleburne, TX 76033-7029

Phone

(817) 648-0123

NPI assigned

Jun 5, 2017

Last updated

Jun 1, 2020By 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

Hanmanth R Bejjanki, MDNPI 1154348977

Title

Physician

Phone

(817) 994-5786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hanmanth Rao Bejjanki, M.D.

  • Gastroenterology Physician
  • Cleburne, TX
  • NPI 1154348977
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1053840017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 SAUCON VALLEY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761327125",
            "telephone_number": "817-994-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALLS DR STE 209",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337029",
            "telephone_number": "817-648-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "BEJJANKI",
        "authorized_official_first_name": "HANMANTH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-994-5786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L0026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason W Tennison, DMD, MS
• Glen Robert Tessman, D.C.
• Texans for Chiropractic Wellness
• Texas - Waverley Group, Inc. (Cleburne Rehabilitation and Health Care Center)
• Texas DME Inc (Mobility Dynamics)
• Texas Health Care PLLC
• Texas Health Harris Methodist Hospital Cleburne
• Texas Health Harris Methodist Hospital Cleburne
• Texas Health Harris Methodist Hospital Cleburne
• Texas Health Huguley, Inc (Texas Health Huguley Hospital Fort Worth South)

• Gastroenterology Physician in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.