Active NPI
James R Terry, M.D.
- Family Medicine Physician
- Bedford, TX
National Provider Identifier
1144242512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G8459
- Practice address
- 3024 Highway 121
Bedford, TX 76021-4037 - Phone
- (817) 494-5000
- Fax
- (817) 494-5001
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G8459 | TX | Primary |
Addresses
Primary practice location
3024 Highway 121
Bedford, TX 76021-4037
Mailing address
3024 Highway 121
Bedford, TX 76021-4037
Phone (817) 494-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133884008 | Medicaid | TX | |
| 133884001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1144242512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214037",
"telephone_number": "817-494-5000",
"fax_number": "817-494-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214037",
"telephone_number": "817-494-5000",
"fax_number": "817-494-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G8459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133884008",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133884001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
- Sam Taylor III, PT, DPT
- Stephanie R Taylor, MD
- TDC-Bedford Dialysis Clinic LLC
- Telesis-Parkwood Care I, LTD.
- Terry Walters PH D PC
- Nicole Christine Tetreault, DPT
- Texamerican Clinic & Labs LLC
- Texas Center for Behavioral Health
- Texas Digestive Disease Consultants, PLLC
- Texas Ear, Nose & Throat Specialists, L.L.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.