Bela Roth, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

E5224 Issued in TX

Practice address

2427 Thorndon Park CT
League City, TX 77573-5563

Phone

(281) 538-2417

NPI assigned

Oct 6, 2016

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1427508027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 THORNDON PARK CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735563",
            "telephone_number": "281-538-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 THORNDON PARK CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735563",
            "telephone_number": "281-538-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TX",
            "license": "E5224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OOAJ40",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "POOOAJ406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronney M Henson D C P C (Henson Chiropractic Center)
• Ronney M Henson D. C. P.C. (Holistic Health Centers of Texas)
• Savannah Rose
• Nancy Eileen Ross, RN FNP
• Christina Rosser, NP
• Sukanya Roy, DO
• Caleena Pearl Rozell
• Di'Avian Antoinette Ruffins
• Louma Basma Rustam, MD
• RX to Go Pharmacy

• Addiction Medicine (Internal Medicine) Physician in League City, TX
• Providers in League City, TX by specialty
• Addiction Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.