Active NPI
James Eustace Bizzell II, M.D.
- Therapeutic Radiology Physician
- Dallas, TX
National Provider Identifier
1265696967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- J5263
- Practice address
- 3500 Fairmount St
626
Dallas, TX 75219-4778 - Phone
- (214) 526-2227
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | J5263 | TX | Primary |
Addresses
Primary practice location
3500 Fairmount St
626
Dallas, TX 75219-4778
Mailing address
3500 Fairmount St
626
Dallas, TX 75219-4778
Phone (214) 526-2227
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5263 | TX | MD | Therapeutic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1265696967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 FAIRMOUNT ST",
"address_2": "626",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194778",
"telephone_number": "214-526-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 FAIRMOUNT ST",
"address_2": "626",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194778",
"telephone_number": "214-526-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIZZELL",
"first_name": "JAMES",
"middle_name": "EUSTACE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "TX",
"license": "J5263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.