Ellen Bez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M001042 Issued in GU

Practice address

633 Governor Carlos Camacho Road
Suite 205
Tamuning, GU 96913

Phone

(671) 649-7232

Fax

(671) 649-7233

NPI assigned

May 10, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649484197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOVERNOR CARLOS CAMACHO ROAD",
            "address_2": "SUITE 205",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-7232",
            "fax_number": "671-649-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOVERNOR CARLOS CAMACHO ROAD",
            "address_2": "SUITE 205",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-7232",
            "fax_number": "671-649-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZ",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M001042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BC RX Services
• Mary F Beckett, MD
• Kirk Bellis, D.O.
• Nathaniel Benjamin Berg, MD
• David Bero, D.D.S.
• Friedrich C Bieling, M.D.
• Eythor Bjorgvinsson, M.D.
• Maria Antonia Banal Blancaflor, M.D.
• Jan Anders Bollinger, MD
• Annie U Bordallo, MD

• All providers in Tamuning, GU
• Internal Medicine Physician in Guam

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.