Active NPI
Louis Wentzel Bezuidenhout, M.D.
- Orthopaedic Surgery Physician
- Dallas, TX
National Provider Identifier
1679125694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- S2235
- Practice address
- 2222 Welborn Street
Dallas, TX 75219 - Phone
- (214) 559-5000
- NPI assigned
- Jul 10, 2019
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | S2235 | TX | Primary |
Addresses
Primary practice location
2222 Welborn Street
Dallas, TX 75219
Mailing address
11266 73 Avenue NW
Edmonton, ALBERTA T6G 0C6
CA
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S2235 | TX | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1679125694",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "11266 73 AVENUE NW",
"city": "EDMONTON",
"state": "ALBERTA",
"postal_code": "T6G 0C6"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 WELBORN STREET",
"city": "DALLAS",
"state": "TX",
"postal_code": "75219",
"telephone_number": "214-559-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEZUIDENHOUT",
"first_name": "LOUIS",
"middle_name": "WENTZEL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "S2235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.