Organization Active NPI

BBC Medical Center, PLLC

  • Family Medicine Physician
  • Lewisville, TX
National Provider Identifier
1215550595
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BBC MEDICAL CENTER, PLLC
Practice address
571 W Main St Ste 100
Lewisville, TX 75057-3667
Phone
(972) 885-0097
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Matthew GilbertNPI 1518278456
Title
Owner/Ceo
Phone
(972) 885-0097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

571 W Main St Ste 100
Lewisville, TX 75057-3667

Mailing address

571 W Main St Ste 100
Lewisville, TX 75057-3667

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LEWISVILLE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1215550595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573667",
            "telephone_number": "972-885-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBC MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "972-885-0097"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LEWISVILLE",
            "affiliation": "N",
            "address_1": "571 W Main St Ste 100",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750573667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.