Organization Active NPI

Byron Kevin Beaver, M.D., P.a.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Beaumont, TX
National Provider Identifier
1073646014
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
L6781 Issued in TX
Legal business name
BYRON KEVIN BEAVER, M.D., P.A.
Practice address
755 North 11TH Street
Suite D1001
Beaumont, TX 77702
Phone
(409) 899-8534
Fax
(409) 899-8304
NPI assigned
Mar 13, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Byron Kevin Beaver, M.D.
Title
President
Phone
(409) 899-8534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X L6781 TX Primary

Addresses

Primary practice location

755 North 11TH Street
Suite D1001
Beaumont, TX 77702

Mailing address

PO Box 202024
Dallas, TX 75320-2024
Phone (409) 899-8534

National Provider Directory

National Provider Directory

Locations

755 N 11th St
Ste D1001
Beaumont, TX 77702
Phone (409) 924-6975

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1073646014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202024",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202024",
            "telephone_number": "409-899-8534",
            "fax_number": "409-899-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NORTH 11TH STREET",
            "address_2": "SUITE D1001",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77702",
            "telephone_number": "409-899-8534",
            "fax_number": "409-899-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON KEVIN BEAVER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-899-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "L6781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.