Individual provider Active NPI

Maximilian N. Becks, DO

  • Student in an Organized Health Care Education/Training Program
  • El Paso, TX
National Provider Identifier
1194373779
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Wbamc/Gme/Ty
5005 N. Piedras Street
El Paso, TX 79920-5001
Phone
(915) 742-2521
Fax
(915) 742-6668
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Wbamc/Gme/Ty
5005 N. Piedras Street
El Paso, TX 79920-5001

Mailing address

Wbamc/Gme/Ty
5005 N. Piedras Street
El Paso, TX 79920-5001
Phone (915) 742-2521

Other practice location 1

549 HC/Baach
Camp Humphrey, Camp Humphreys 32922
KR
Phone (954) 253-6193

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)
Not enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1194373779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WBAMC/GME/TY",
            "address_2": "5005 N. PIEDRAS STREET",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001",
            "telephone_number": "915-742-2521",
            "fax_number": "915-742-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WBAMC/GME/TY",
            "address_2": "5005 N. PIEDRAS STREET",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001",
            "telephone_number": "915-742-2521",
            "fax_number": "915-742-6668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "549 HC/BAACH",
            "address_purpose": "LOCATION",
            "city": "Camp Humphrey",
            "state": "Camp Humphreys",
            "postal_code": "32922",
            "country_code": "KR",
            "telephone_number": "954-253-6193",
            "country_name": "Korea, Republic of",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "BECKS",
        "first_name": "MAXIMILIAN",
        "middle_name": "N.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.