NPIMap

Organization Active NPI

Federal Bureau of Prisons

  • General Acute Care Hospital
  • Fort Worth, TX
National Provider Identifier
1275884165
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
J9175 Issued in TX
Legal business name
FEDERAL BUREAU OF PRISONS
Practice address
J Street, BLDG 3000
FMC Carswell
Fort Worth, TX 76127-7066
Phone
(817) 782-4001
Fax
(817) 782-4674
NPI assigned
Oct 2, 2012
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Sergio Moncada, MD
Title
Clinical Director
Phone
(817) 782-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X J9175 TX Primary

Addresses

Primary practice location

J Street, BLDG 3000
FMC Carswell
Fort Worth, TX 76127-7066

Mailing address

J Street, BLDG 3000
FMC Carswell
Fort Worth, TX 76127-7066
Phone (817) 782-4001

National Provider Directory

National Provider Directory
Tax ID family
Fbop Metropolitan Detention Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1275884165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J STREET, BLDG 3000",
            "address_2": "FMC CARSWELL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761277066",
            "telephone_number": "817-782-4001",
            "fax_number": "817-782-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J STREET, BLDG 3000",
            "address_2": "FMC CARSWELL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761277066",
            "telephone_number": "817-782-4001",
            "fax_number": "817-782-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL BUREAU OF PRISONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MONCADA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "817-782-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "J9175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.