Active NPI
Gordon Tyler Begley, DC
- Sports Physician Chiropractor
- Austin, TX
National Provider Identifier
1053943506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 14360
- Practice address
- 11614 Bee Caves Rd Ste 110
Austin, TX 78738-5551 - Phone
- (512) 263-9961
- NPI assigned
- Feb 12, 2020
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 14360 | TX | Primary |
Addresses
Primary practice location
11614 Bee Caves Rd Ste 110
Austin, TX 78738-5551
Mailing address
3544 Ranch Road 620 S Apt 2201
Austin, TX 78738-0022
Phone (469) 243-4580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14360 | TX | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1053943506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 RANCH ROAD 620 S APT 2201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787380022",
"telephone_number": "469-243-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11614 BEE CAVES RD STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787385551",
"telephone_number": "512-263-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEGLEY",
"first_name": "GORDON",
"middle_name": "TYLER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "14360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.