Active NPI
Anthony Bret Beaverson, M.D.
- Emergency Medicine Physician
- Sherman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J9966
- Practice address
- 500 N Highland Ave
Sherman, TX 75092-7354 - Phone
- (972) 870-4205
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J9966 | TX | Primary |
Addresses
Primary practice location
500 N Highland Ave
Sherman, TX 75092-7354
Mailing address
4708 Canvasback Blvd
McKinney, TX 75070-9034
Phone (972) 562-8053
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134272711 | Medicaid | TX | |
| 134272710 | Medicaid | TX | |
| 930102137 | Other | TX | MEDICARE RAILROAD |
| 8A0477 | Other | TX | BCBS |
| P00198884 | Other | TX | RAIL ROAD MEDICARE |
| 8M6697 | Other | TX | BLUE CROSS BLUE SHIELD |
| 134272714 | Medicaid | TX | |
| 8S9031 | Other | TX | BLUE CROSS BLUE SHIELD |
| 134272708 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2850 E Hwy 114
Trophy Club, TX 76262-5302
Phone (214) 696-8033
9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9966 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies Central Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Level One Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Western Texas Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Legacy Urgent Care, PA | Current | Accepting new patients | |
| Amin Kamali, DO, PA | Past | Accepting new patients | |
| Dallas Anesthesiology Associates, PA | Past | Accepting new patients |
Locations
330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777
3500 Gaston Ave
Dallas, TX 75246
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020
12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000
101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500
2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321
5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000
8000 Eldorado Pkwy
#H
McKinney, TX 75070
Phone (972) 569-2700
2810 S Hardin Blvd
Ste 1
McKinney, TX 75072
Phone (972) 548-7277
8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400
2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277
8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1568622272
-
- Emergency Medicine Physician
- Trophy Club, TX
- NPI 1588488571
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Hillsboro, TX
- NPI 1003523002
-
- Emergency Medicine Physician
- Denison, TX
- NPI 1528790193
-
- Emergency Medicine Physician
- McKinney, TX
- NPI 1184674020
-
- Anesthesiology Physician
- McKinney, TX
- NPI 1598104051
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1497700280
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1952538431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1275518250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 CANVASBACK BLVD",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750709034",
"telephone_number": "972-562-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N HIGHLAND AVE",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750927354",
"telephone_number": "972-870-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVERSON",
"first_name": "ANTHONY",
"middle_name": "BRET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J9966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134272711",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134272710",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930102137",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8A0477",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00198884",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8M6697",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134272714",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8S9031",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134272708",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.