Active NPI
Essex Physician Services PC
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1558626531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ESSEX PHYSICIAN SERVICES PC
- Practice address
- 12790 Merit Dr Ste 200
Dallas, TX 75251-1276 - Phone
- (337) 609-1221
- NPI assigned
- Jul 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Whitman, DO
- Title
- President/Director
- Phone
- (337) 609-1221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12790 Merit Dr Ste 200
Dallas, TX 75251-1276
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (337) 609-1221
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1144240250
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1114217296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1558626531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "337-609-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12790 MERIT DR STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511276",
"telephone_number": "337-609-1221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX PHYSICIAN SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "WHITMAN",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
"authorized_official_telephone_number": "337-609-1221",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Essence Vision PLLC
- Essential Eyecare, Inc.
- Essential Health Care
- Essential Health Solutions, LLC
- Essential Mental Wellness
- Ashley Essick, CMMP
- Ben Essien, QMHP-CS
- Essilor Laboratories of America California Acquisition Corporation
- Essilor Laboratories of America, L.P.
- Essilor Laboratories of America, L.P. (Omega Dallas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.