Active NPI
Joe B Belue, MD
- Obstetrics & Gynecology Physician
- Tyler, TX
National Provider Identifier
1568435329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D2088
- Practice address
- 534 S Beckham Ave
Tyler, TX 75702-8310 - Phone
- (903) 531-4530
- Fax
- (903) 531-4553
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D2088 | TX | Primary |
Addresses
Primary practice location
534 S Beckham Ave
Tyler, TX 75702-8310
Mailing address
PO Box 5500
Tyler, TX 75712-5500
Phone (903) 324-6400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123000 | Other | TX | CHIPS |
| 752616977026 | Other | TX | TRICARE CHAMPUS |
| 4355815 | Other | TX | AETNA |
| BE083Y680 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jbelue7712@christushealth.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1568435329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5500",
"city": "TYLER",
"state": "TX",
"postal_code": "757125500",
"telephone_number": "903-324-6400",
"fax_number": "903-593-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757028310",
"telephone_number": "903-531-4530",
"fax_number": "903-531-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELUE",
"first_name": "JOE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "D2088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIPS",
"identifier": "123000",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "752616977026",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4355815",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "BE083Y680",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.