Betamed, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0061609 Issued in TX

Legal business name

BETAMED, INC.

Practice address

1802 Welsh Ave
College Station, TX 77840-4851

Phone

(979) 703-1407

Fax

(979) 703-1403

NPI assigned

Mar 1, 2006

Last updated

Nov 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua David Shields, C.P.A.

Title

Ceo

Phone

(979) 703-1407

Specialties & licenses 2

Addresses

Other identifiers 6

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1285601104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 WELSH AVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404851",
            "telephone_number": "979-703-1407",
            "fax_number": "979-703-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 WELSH AVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404851",
            "telephone_number": "979-703-1407",
            "fax_number": "979-703-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETAMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-703-1407",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0061609",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE HEALTH PLAN",
            "identifier": "280439",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4293300001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TX",
            "identifier": "531128",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149290202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7407334",
            "identifier": "AETNA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149290201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tanya.daniels@betamedbcs.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1802 Welsh Ave",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778404851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gadiel A Berrio, M.D.
• Nancy M. Bertsch, M.D.
• Jared Allen Berwick, BE, RBT
• David Berzon, M.D.
• Natolie Ann Bester, L.M.T.
• Bettiol Family Enterprises, LP (Texan Chiropractic)
• Daniel A Bettiol, D.C
• Beyond the Mind Psychological Services PLLC
• Palak Bhatt
• Jennifer Ann-Nicole Bhavsar, M.D.

• Durable Medical Equipment & Medical Supplies in College Station, TX
• Providers in College Station, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.