Active NPI
Jay Beckwith, D.O.
- Gastroenterology Physician
- Fort Worth, TX
National Provider Identifier
1306946934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D4711
- Practice address
- 1051 Haskell St
208
Fort Worth, TX 76107-2649 - Phone
- (817) 737-3166
- Fax
- (817) 737-4881
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D4711 | TX | Primary |
Addresses
Primary practice location
1051 Haskell St
208
Fort Worth, TX 76107-2649
Mailing address
1051 Haskell St
208
Fort Worth, TX 76107-2649
Phone (817) 737-3166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1306946934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 HASKELL ST",
"address_2": "208",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072649",
"telephone_number": "817-737-3166",
"fax_number": "817-737-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 HASKELL ST",
"address_2": "208",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072649",
"telephone_number": "817-737-3166",
"fax_number": "817-737-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKWITH",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "D4711",
"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 May 19, 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.