Neil M. Bealka Jr.,M.D. PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

J3044 Issued in TX

Legal business name

NEIL M. BEALKA JR.,M.D. PA

Practice address

2406 S. Business Hwy 36
Gatesville, TX 76528

Phone

(254) 865-4267

Fax

(254) 865-8293

NPI assigned

Oct 22, 2007

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alvia A Robles

Title

Office Manager

Phone

(254) 865-4267

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Neil M Bealka Jr MD PA

  • Ophthalmology Physician
  • Hillsboro, TX
  • NPI 1871906776

  9133191497

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neil M Bealka Jr MD PA

  • Ophthalmology Physician
  • Hillsboro, TX
  • NPI 1871906776

  O20141027002351

  Same enrollment

Locations

Practitioners 5

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.

• Neil Michael Bealka Jr., M.D.

  • Ophthalmology Physician
  • Gatesville, TX
  • NPI 1336182310
  Medicare reassignment Care Compare group NPD
• Peter Bealka, M.D.

  • Ophthalmology Physician
  • Gatesville, TX
  • NPI 1790133775
  Medicare reassignment Care Compare group NPD
• Travis Matthew Loven, O.D.

  • Optometrist
  • Waco, TX
  • NPI 1609074913
  Medicare reassignment NPD
• Donald Gene Bockin, O.D.

  • Occupational Vision Optometrist
  • Harker Heights, TX
  • NPI 1275546921
  NPD (past)
• Carrie Divin, O. D.

  • Optometrist
  • Bellmead, TX
  • NPI 1770666521
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1144419672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S. BUSINESS HWY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282518",
            "telephone_number": "254-865-4267",
            "fax_number": "254-865-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 S. BUSINESS HWY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "76528",
            "telephone_number": "254-865-4267",
            "fax_number": "254-865-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL M. BEALKA JR.,M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "ALVIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-865-4267",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J3044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141555601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133678608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8246M0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Concepcion McFadden, M.D.
• Teirney Medeiros, LPC
• Kayla K Miller, LVN
• Jackie Nechole Morgan, FNP
• David Ray Myers, ED.D, LCSW
• Shannon Neuharth
• Tracy Lachelle Nolan
• Elizabeth A Norris, LPC
• Stephen A. Norris, M.D.
• Jacinto A Obregon, MD

• Ophthalmology Physician in Gatesville, TX
• Providers in Gatesville, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.