Beverly Burnett Nuckols, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J1471 Issued in TX

Practice address

921 Lakeview Blvd
New Braunfels, TX 78130-4135

Phone

(830) 620-7744

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134260698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311655",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311655",
            "telephone_number": "830-237-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LAKEVIEW BLVD",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304135",
            "telephone_number": "830-620-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKOLS",
        "first_name": "BEVERLY",
        "middle_name": "BURNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nolen, P.A.-C.
• Andrew Thomas Noonan, PHARMD
• Northland Hearing Centers, Inc (NewSound Hearing Aid Centers)
• Laura Susanne Novak, OTR
• Nuch of Texas (MedPost Urgent Care New Braunfels)
• Renee Paulyna Nunez
• Sara O'Brien, DNP, APRN, FNP-BC
• Leslie A. O'Connell, MD
• Oak Run ER, PLLC
• Robert H Offutt, DDS

• Family Medicine Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.