Alvis Ben Trent

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13307 Issued in TX

Practice address

2200 Hickory St # 16236
Abilene, TX 79601-2345

Phone

(325) 670-1702

NPI assigned

Jun 17, 2019

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1063072536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST",
            "address_2": "STE 205",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012931",
            "telephone_number": "254-433-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HICKORY ST # 16236",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012345",
            "telephone_number": "325-670-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "ALVIS",
        "middle_name": "BEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Tran
• Totrinh Tran, DDS
• Travis Medical Sales Corp
• Zane Roland Travis, MD
• Willys Curtis Treanor, M.D.
• Trias Coordinated Services, PLLC
• Tricia E. Poindexter PLLC
• Richard David Trifilo, M.D
• Yolanda Rosario Trinidad, MA,LPC
• Trio Health Sleep Lab

• Physician Assistant in Abilene, TX
• Providers in Abilene, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.