Active NPI
Bois D'Arc Emergency Physicians
- Emergency Medicine Physician
- Bonham, TX
National Provider Identifier
1164619060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- BOIS D'ARC EMERGENCY PHYSICIANS
- Practice address
- 504 Lipscomb Blvd
Bonham, TX 75418 - Phone
- (903) 583-8585
- NPI assigned
- Sep 25, 2007
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph H Gatewood, M.D.
- Title
- General Partner
- Phone
- (800) 444-7009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
504 Lipscomb Blvd
Bonham, TX 75418
Mailing address
815 S Palafox St
3Rd Floor
Pensacola, FL 32502-5937
Phone (800) 444-7009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD0707 | Other | TX | RAILROAD MEDICARE |
| 0010MD | Other | TX | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1164619060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S PALAFOX ST",
"address_2": "3RD FLOOR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325025937",
"telephone_number": "800-444-7009",
"fax_number": "800-305-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 LIPSCOMB BLVD",
"city": "BONHAM",
"state": "TX",
"postal_code": "75418",
"telephone_number": "903-583-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOIS D'ARC EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GATEWOOD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "800-444-7009",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD0707",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0010MD",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonham, TX
- Jennifer Jo Besch, RPT
- James Brendon Beualieu
- Lawton Biggers, RN
- Lillie Heidari Bigvand, NP-C
- Patricia L. Blackard, M.S., CCC-SLP
- John Bonchak, D.O.
- Lacey Gail Bonewitz, LCSW
- Bonham Anesthesia Management Services LLC
- Bonham Family Drug, LLC (Bonham Family Drug)
- Bonham Family Drug, LLC (Bonham Family Drug)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.