Bennie Frank Fore III, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

G6014 Issued in TX

Practice address

156 Sage Rd
Bastrop, TX 78602-5631

Phone

(512) 581-0931

Fax

(512) 581-0931

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1316995558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 SAGE RD",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025631",
            "telephone_number": "512-581-0931",
            "fax_number": "512-581-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 SAGE RD",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025631",
            "telephone_number": "512-581-0931",
            "fax_number": "512-581-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 US Highway 181 Ste A11",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783743588",
            "country_code": "US",
            "telephone_number": "361-761-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORE",
        "first_name": "BENNIE",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "G6014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137448005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather R Fiebrich, DPT
• Thomas Michael Fields, PA
• Tammy Finn
• Stephanie Fletcher
• Anna Marie Flournoy, WHNP
• Frontier Radiology
• Omar Alejandro Fuentes Curiel
• Madeline Fuentes
• Moira K Gallagher, M.S. CCC-SLP
• Emmy Jo Galvan, FNP-C

• Emergency Medical Services (Emergency Medicine) Physician in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.