Joseph Byamugisha Beraho, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34585 Issued in TN

Practice address

1205 E Marshall Ave
Longview, TX 75601-5649

Phone

(903) 247-8262

Fax

(903) 247-8274

NPI assigned

Aug 12, 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

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639181357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 WALTER ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054130",
            "telephone_number": "903-757-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015649",
            "telephone_number": "903-247-8262",
            "fax_number": "903-247-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERAHO",
        "first_name": "JOSEPH",
        "middle_name": "BYAMUGISHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "34585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beltone Hearing Aid Center
• Wendy Benners, MABC, LPC
• Cinthia A Bennett, APN, FNP-BC
• Kendra Caroline Bennett, LPC - SUPERVISOR
• Jennifer Blair Garrett Benson, PA-C
• Iminabo Samson Berepele
• Elisa Lynn Berry, FNP
• George Albert Berry Jr., D.C.
• Jody David Berryhill, L.A.T.
• Bert E. Sharp, D.P.M., P.a.

• Internal Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.