Wesley Palmer DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WESLEY PALMER DO PA

Doing business as

Family Clinic

Practice address

2162 Texas Ave
Bridge City, TX 77611-2838

Phone

(409) 735-7157

Fax

(409) 735-7035

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Dean Palmer, DO

Title

Owner

Phone

(409) 735-7157

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reatha Jeannette Bradberry I, FNP

  • Nurse Practitioner
  • Orange, TX
  • NPI 1548219876
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1295804573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112838",
            "telephone_number": "409-735-7157",
            "fax_number": "409-735-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112838",
            "telephone_number": "409-735-7157",
            "fax_number": "409-735-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY PALMER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-735-7157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161023002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Total Care Medical, PLLC (Your Medical Home)
• Total Care Port Arthur LLC
• Christopher Wagner, PHARMD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0283)
• Walgreen Co (Walgreens #12355)
• Nathaniel Richard Worley
• Jennifer L Wueller, RPH
• Fred Franklin Zoch, D.D.S.

• Family Medicine Physician in Bridge City, TX
• Providers in Bridge City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.