NPIMap

Individual provider Active NPI

Craig C Beasley, MD

  • General Practice Physician
  • Throckmorton, TX
National Provider Identifier
1649330119
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
K1160 Issued in TX
Practice address
802 N Minter Ave
Throckmorton, TX 76483-5357
Phone
(940) 849-2481
Fax
(940) 849-7141
NPI assigned
Dec 12, 2006
Last updated
Apr 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X K1160 TX Primary

Addresses

Primary practice location

802 N Minter Ave
Throckmorton, TX 76483-5357

Mailing address

PO Box 329
Throckmorton, TX 76483
Phone (940) 849-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000524 TX Practitioner - Family Practice 7911974464 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

802 N Minter Ave
Throckmorton, TX 76483-5357
Phone (940) 849-2151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K1160TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Throckmorton County Memorial Hosp CurrentSince May 8, 2003 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 1, 2009 Accepting new patients
Throckmorton County Memorial Hosp CurrentSince May 8, 2003 Accepting new patients
Comanche County Medical Center Company CurrentSince Apr 15, 2017 Accepting new patients
Comanche County Medical Center Company CurrentSince Apr 15, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 1, 2009 Accepting new patients
Nextcare Primary Care Texas PLLC CurrentSince May 12, 2015 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Privia Medical Group West Texas, PLLC PastSince Sep 1, 2007 Accepting new patients
Throckmorton County Memorial Hosp Past Accepting new patients
Hendrick Provider Network Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1634 State Highway 351
Abilene, TX 79601
Phone (325) 676-1100

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

802 N Minter Ave
Throckmorton, TX 76483
Phone (940) 849-2141

802 N Minter Ave
#B
Throckmorton, TX 76483
Phone (940) 849-2151

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/throckm-3dd57dc3

Organizations & group practices 12

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

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1649330119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "THROCKMORTON",
            "state": "TX",
            "postal_code": "76483",
            "telephone_number": "940-849-2481",
            "fax_number": "940-849-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N MINTER AVE",
            "city": "THROCKMORTON",
            "state": "TX",
            "postal_code": "764835357",
            "telephone_number": "940-849-2481",
            "fax_number": "940-849-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "CRAIG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "K1160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Throckmorton, TX

Sources for this page

Verify at the official NPI Registry.