Organization Active NPI

Bethesda Family Physicians Associates

Doing business as Bethesda Family Clinic

  • Pediatrics Physician
  • Tyler, TX
National Provider Identifier
1336376391
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BETHESDA FAMILY PHYSICIANS ASSOCIATES
Doing business as
Bethesda Family Clinic
Bethesda Pediatrics
Practice address
1350 E Richards St
Tyler, TX 75702-6153
Phone
(903) 531-9455
Fax
(903) 526-3118
NPI assigned
Jun 17, 2009
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Chelsea Cohen
Title
Coo
Phone
(903) 531-9455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1350 E Richards St
Tyler, TX 75702-6153

Mailing address

1350 E Richards St
Tyler, TX 75702-6153
Phone (903) 531-9455

Other practice location 1

215 Margaret St
Lindale, TX 75771-3215
Phone (903) 255-7462

Other identifiers 3

IdentifierTypeStateIssuer
203740001MedicaidTX
203740003OtherTXMEDICAID CSCHN
203740002OtherTXMEDICAID TH STEPS

Other names 2

  • Bethesda Family Clinic Doing business as
  • Bethesda Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1101862Bethesda Pediatrics1350 E Richards, Tyler, TX 75702Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1336376391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E RICHARDS ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026153",
            "telephone_number": "903-531-9455",
            "fax_number": "903-526-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E RICHARDS ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026153",
            "telephone_number": "903-531-9455",
            "fax_number": "903-526-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Margaret St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757713215",
            "country_code": "US",
            "telephone_number": "903-255-7462",
            "fax_number": "903-526-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHESDA FAMILY PHYSICIANS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "903-531-9455"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203740001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSCHN",
            "identifier": "203740003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TH STEPS",
            "identifier": "203740002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethesda Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.