Biotronics Kidney Center of Beaumont Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

008725 Issued in TX

Legal business name

BIOTRONICS KIDNEY CENTER OF BEAUMONT INC

Doing business as

Biotronics Kidney Center of Beaumont

Practice address

2755 Liberty St
Beaumont, TX 77702-1812

Phone

(409) 839-8204

Fax

(409) 839-8648

NPI assigned

Aug 17, 2006

Last updated

Oct 2, 2014By 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

Ellen M Lee

Title

Treasurer

Phone

(409) 892-1003

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Biotronics Kidney Center of Beaumont Doing business as

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1598879827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777267464",
            "telephone_number": "409-892-1003",
            "fax_number": "409-892-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 LIBERTY ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021812",
            "telephone_number": "409-839-8204",
            "fax_number": "409-839-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOTRONICS KIDNEY CENTER OF BEAUMONT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "409-892-1003"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127317906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "0000HH6135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biotronics Kidney Center of Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Jones Bingham
• Bio Medical Applications of Texas, Inc. (Fresenius Kidney Care Jefferson County TX)
• Bio-Medical Applications of Texas Inc
• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care Beaumont)
• Bio-Medical Applications of Texas, Inc. (Golden Triangle Dialysis Center)
• Robert Rankin Birdwell, M.D.
• Birth Center of Beaumont
• Leslie M. Bishop, M.D.
• Kamal Chafic Bitar, D.D.S.
• BJ & M Healthcare Services, LLC.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.