Organization Active NPI

Bsa Physicians Group Inc

Doing business as BSA Medical Group

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1346237955
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BSA PHYSICIANS GROUP INC
Doing business as
BSA Medical Group
Practice address
1000 S Coulter St Ste 200
Amarillo, TX 79106-1841
Phone
(806) 212-6965
Fax
(806) 212-0355
NPI assigned
Sep 29, 2005
Reactivated
Mar 15, 2018
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Eileen T Harpole
Title
Director
Phone
(806) 212-6965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1000 S Coulter St Ste 200
Amarillo, TX 79106-1841

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965

Other identifiers 3

IdentifierTypeStateIssuer
00R06WOtherTXGROUP BCBS
325874101MedicaidTX
266489OtherTXGROUP MEDICARE

Other names 1

  • BSA Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist St Anthonys Health Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3501 S Soncy Rd
Ste 148
Amarillo, TX 79119
Phone (806) 212-6965

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1346237955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COULTER ST STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061841",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSA PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "deactivation_date": "2017-11-02",
        "reactivation_date": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "HARPOLE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-212-6965"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "00R06W",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325874101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "266489",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BSA Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BSA Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.