Organization Active NPI

BCW Enterprise

  • Electroneurodiagnostic Specialist/Technologist
  • Mansfield, TX
National Provider Identifier
1205971553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
BCW ENTERPRISE
Practice address
118 N Main St
Suite B
Mansfield, TX 76063-1724
Phone
(682) 518-1669
Fax
(817) 473-1839
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberly Welch
Title
Owner
Phone
(682) 518-1669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

118 N Main St
Suite B
Mansfield, TX 76063-1724

Mailing address

118 N Main St
Suite B
Mansfield, TX 76063-1724
Phone (682) 518-1669

National Provider Directory

National Provider Directory

Locations

118 N Main St
Ste B
Mansfield, TX 76063
Phone (682) 518-1669

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205971553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "address_2": "SUITE B",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631724",
            "telephone_number": "682-518-1669",
            "fax_number": "817-473-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "address_2": "SUITE B",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631724",
            "telephone_number": "682-518-1669",
            "fax_number": "817-473-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCW ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-518-1669"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.