Organization Active NPI

Bsa Physicians Group Inc

Doing business as BSA Urgent Care Clinic

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1235185828
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BSA PHYSICIANS GROUP INC
Doing business as
BSA Urgent Care Clinic
Practice address
4510 S Bell St
Urgent Care Center
Amarillo, TX 79109
Phone
(806) 212-4835
Fax
(806) 212-6278
NPI assigned
May 25, 2006
Reactivated
Mar 15, 2018
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Eileen T Harpole
Title
Director
Phone
(806) 212-6965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4510 S Bell St
Urgent Care Center
Amarillo, TX 79109

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965

Other names 1

  • BSA Urgent Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist St Anthonys Health Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1235185828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 S BELL ST",
            "address_2": "URGENT CARE CENTER",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSA PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-05-17",
        "deactivation_date": "2017-11-02",
        "reactivation_date": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "HARPOLE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-212-6965"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BSA Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.