Beaumont Nephrology Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BEAUMONT NEPHROLOGY ASSOCIATES

Practice address

1100 W Bluff St
Room 106 & 110
Woodville, TX 75979-4738

Phone

(409) 212-9240

Fax

(409) 212-9239

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Lozano, MD

Title

Presiden

Phone

(409) 212-9240

Specialties & licenses 1

Addresses

Tax ID family

Beaumont Nephrology Associates2 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.

• Beaumont Nephrology Associates

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1174639892
  NPD tax ID

Locations

Practitioners 1

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.

• Ajith Kuriakose, MD

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1073772224
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1356511356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST",
            "address_2": "#100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021154",
            "telephone_number": "409-212-9240",
            "fax_number": "409-212-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W BLUFF ST",
            "address_2": "ROOM 106 & 110",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794738",
            "telephone_number": "409-212-9240",
            "fax_number": "409-212-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "409-212-9240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurian Abraham
• Ac & JW Inc. (Care Plus Home Health)
• Linda Applewhite, LPC ASSOCIATE
• Area Medical Supplies, Inc.
• Paula Kay Black, LPC ASSOCIATE
• Brian Babin DDS
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• James McFarley Brown, MD PA
• C. Caleb Spurlock, DDS, PLLC

• Nephrology Physician in Woodville, TX
• Providers in Woodville, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.