Organization Active NPI

Trinity Phy-Med LLC

  • Chiropractor
  • Bedford, TX
National Provider Identifier
1063690105
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRINITY PHY-MED LLC
Practice address
2800 Brown TRL
Bedford, TX 76021-4106
Phone
(817) 285-8844
Fax
(817) 285-8861
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawson Blayne Love, D.C.NPI 1578658472
Title
Owner/Operator
Phone
(817) 285-8844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2800 Brown TRL
Bedford, TX 76021-4106

Mailing address

2800 Brown TRL
Bedford, TX 76021-4106
Phone (817) 285-8844

Other identifiers 1

IdentifierTypeStateIssuer
8C7387 #00540OtherTXMEDICARE INDIV & GROUP

National Provider Directory

National Provider Directory

Locations

2800 Brown Trl
Bedford, TX 76021
Phone 8172262622324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1063690105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BROWN TRL",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214106",
            "telephone_number": "817-285-8844",
            "fax_number": "817-285-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BROWN TRL",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214106",
            "telephone_number": "817-285-8844",
            "fax_number": "817-285-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHY-MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "LAWSON",
        "authorized_official_middle_name": "BLAYNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "817-285-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIV & GROUP",
            "identifier": "8C7387        #00540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.