Active NPI
Beck Emergency Physicians
- Nurse Practitioner
- Trophy Club, TX
National Provider Identifier
1275577900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- BECK EMERGENCY PHYSICIANS
- Practice address
- 2850 State Highway 114 E
Trophy Club, TX 75146 - Phone
- (972) 548-7277
- Fax
- (214) 712-2487
- NPI assigned
- Jun 15, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William C. Jernberg, M.D.
- Title
- President
- Phone
- (214) 712-2000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2850 State Highway 114 E
Trophy Club, TX 75146
Mailing address
PO Box 41556
Philadelphia, PA 19101-1556
Phone (800) 355-3818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027NH | Other | TX | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1275577900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41556",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191011556",
"telephone_number": "800-355-3818",
"fax_number": "214-712-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 STATE HIGHWAY 114 E",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "75146",
"telephone_number": "972-548-7277",
"fax_number": "214-712-2487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECK EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "JERNBERG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-712-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0027NH",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trophy Club, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.