Active NPI
Daniel James Bequillard, PHYSICIAN ASSISTANT
- Physician Assistant
- Port Aransas, TX
National Provider Identifier
1154410041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 600 Cut Off Rd Ste 14
Port Aransas, TX 78373-4246 - Phone
- (361) 749-1930
- Fax
- (361) 749-1933
- NPI assigned
- Oct 11, 2006
- Last updated
- Oct 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
600 Cut Off Rd Ste 14
Port Aransas, TX 78373-4246
Mailing address
PSC 450 Box 412
Apo Ap, CA 96206
Phone (817) 217-9029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Cut Off Rd
Suite 14
Port Aransas, TX 78373-4246
Phone (361) 749-1930
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1773 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Texas Emergency Room Services PA | Past | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- dbequillard@blrmd.gwaydirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Port Aransas Medical
- Family Medicine Physician
- Port Aransas, TX
- NPI 1134385198
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Physician Assistant
- Texarkana, TX
- NPI 1558314062
-
- Emergency Medicine Physician
- Del Rio, TX
- NPI 1447200696
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corpus Christi Healthcare at Home
- Home Health Agency
- Corpus Christi, TX
- NPI 1124070065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1154410041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PSC 450 BOX 412",
"city": "APO AP",
"state": "CA",
"postal_code": "96206",
"telephone_number": "817-217-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CUT OFF RD STE 14",
"city": "PORT ARANSAS",
"state": "TX",
"postal_code": "783734246",
"telephone_number": "361-749-1930",
"fax_number": "361-749-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEQUILLARD",
"first_name": "DANIEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Aransas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.