Organization Active NPI

Bill H Puryear

  • Family Medicine Physician
  • Haltom City, TX
National Provider Identifier
1679753685
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BILL H PURYEAR
Practice address
4010 E Belknap St
Haltom City, TX 76111-6609
Phone
(817) 834-7161
Fax
(817) 834-7104
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Bill H Puryear, D.O.
Title
Owner
Phone
(817) 834-7161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X TX Primary

Addresses

Primary practice location

4010 E Belknap St
Haltom City, TX 76111-6609

Mailing address

4010 E Belknap St
Haltom City, TX 76111-6609
Phone (817) 834-7161

Other identifiers 2

IdentifierTypeStateIssuer
112615302MedicaidTX
130944502MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1679753685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 E BELKNAP ST",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116609",
            "telephone_number": "817-834-7161",
            "fax_number": "817-834-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 E BELKNAP ST",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116609",
            "telephone_number": "817-834-7161",
            "fax_number": "817-834-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL H PURYEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "PURYEAR",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-834-7161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112615302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130944502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.