Private Hospital Group LLP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIVATE HOSPITAL GROUP LLP

Practice address

4004 College St
Beaumont, TX 77707-4004

Phone

(409) 722-1197

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

John BadlissiNPI 1578753265

Title

Practice Owner

Phone

(409) 722-1197

Specialties & licenses 1

Addresses

Practitioners 1

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

• John Badlissi, MD

  • Internal Medicine Physician
  • Nederland, TX
  • NPI 1578753265
  NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1093454241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 HIGHWAY 365 # 227",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074004",
            "telephone_number": "409-722-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE HOSPITAL GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "BADLISSI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "409-722-1197"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacy Keitha Priddy, OTR
• Primary Care Anywhere, PLLC
• Prime Occupational Physicians - Texas
• Primevs
• Pristine Practices LLC
• Jay C. Proctor III, MD
• Corey Lynn Proenza
• Pronto Medical Services
• Prosthetic Solution Centers of America, LLC
• Provision Imaging of Beaumont

• Internal Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.