Jerry J Bettinger, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

E6235 Issued in TX

Practice address

4801 Troup Hwy
Ste 201
Tyler, TX 75703-2356

Phone

(903) 526-7055

Fax

(903) 593-4303

NPI assigned

Jan 20, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1427038801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 TROUP HWY",
            "address_2": "STE 201",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032356",
            "telephone_number": "903-526-7055",
            "fax_number": "903-593-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 TROUP HWY",
            "address_2": "STE 201",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032356",
            "telephone_number": "903-526-7055",
            "fax_number": "903-593-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTINGER",
        "first_name": "JERRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E6235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115025205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143629701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Michelle Berumen, MPAS, PA-C, RDMS
• Paula Alinda Bessonett, MD
• Better Days at Home Senior Care Service
• Better Home Care LLC
• Better Living Management Inc
• Floyd Galloway Betts III, O.D.
• Nikki Betts
• Beulah Home Health Agency Inc
• Roni M Bevans
• Karen Lynne Bever, R. PH.

• Neurology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.