Active NPI
Teresa Janelle Bascom, M.D.
- Obstetrics & Gynecology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L0021
- Practice address
- 1441 N Beckley Ave
Dallas, TX 75203-1201 - Phone
- (214) 947-8181
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | L0021 | TX | Primary |
Addresses
Primary practice location
1441 N Beckley Ave
Dallas, TX 75203-1201
Mailing address
1441 N. Beckley Ave.
Medical Education
Dallas, TX 75203
Phone (214) 947-2331
Other practice location 1
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced OB-GYN Associates P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Physician Associates of Southwest Dallas | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Health Central, P.a. | Past | Accepting new patients |
Locations
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
3201 George Bush Hwy
Ste 107
Richardson, TX 75082
Phone (972) 276-9902
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Richardson, TX
- NPI 1760660088
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Obstetrics & Gynecology
-
- Specialist
- Plano, TX
- NPI 1922127802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1275535049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N. BECKLEY AVE.",
"address_2": "MEDICAL EDUCATION",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203",
"telephone_number": "214-947-2331",
"fax_number": "214-947-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N BECKLEY AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031201",
"telephone_number": "214-947-8181"
}
],
"practiceLocations": [
{
"address_1": "122 W Colorado Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752082382",
"country_code": "US",
"telephone_number": "214-947-6700",
"fax_number": "214-947-6701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASCOM",
"first_name": "TERESA",
"middle_name": "JANELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L0021",
"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 Oct 29, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.