Individual provider Active NPI

Abraham G Beshawored, RT(CT)(MR)

  • Radiologic Technologist
  • Garland, TX
National Provider Identifier
1336902436
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
GMR0010239 Issued in TX
Practice address
5525 Dorchester LN
Garland, TX 75040-4494
Phone
(945) 899-3314
NPI assigned
Feb 1, 2024
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X GMR0010239 TX Primary

Addresses

Primary practice location

5525 Dorchester LN
Garland, TX 75040-4494

Mailing address

5525 Dorchester LN
Garland, TX 75040-4494
Phone (945) 899-3314

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

State licenses

LicenseStateTypeSpecialty
GMR0010239TXMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Mobile Diagnostic Imaging CurrentSince Jan 9, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1336902436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 DORCHESTER LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404494",
            "telephone_number": "945-899-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 DORCHESTER LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404494",
            "telephone_number": "945-899-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHAWORED",
        "first_name": "ABRAHAM",
        "middle_name": "G",
        "credential": "RT(CT)(MR)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "GMR0010239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.