Individual provider Active NPI

Harry Jae Doyle, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1689801730
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
618992 Issued in TX
Practice address
6450 Folsom Dr
Beaumont, TX 77706-7269
Phone
(409) 835-0524
Fax
(409) 835-0632
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 618992 TX Primary

Addresses

Primary practice location

6450 Folsom Dr
Beaumont, TX 77706-7269

Mailing address

6450 Folsom Dr
Beaumont, TX 77706-7269
Phone (409) 835-0524

Other practice location 1

4450 Highland Ave
Beaumont, TX 77705-5205
Phone (409) 832-1924 ext. 101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000476 TX Practitioner - Nurse Practitioner 5799839817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

6450 Folsom Dr
Beaumont, TX 77706-7269
Phone (409) 835-0524

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Apr 1, 2024 Accepting new patients
Jefferson Emergency Medicine Associates PA Past Accepting new patients
Beaumont Emergency Medicine Associates PLLC Past Accepting new patients

Locations

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

6450 Folsom Dr
Beaumont, TX 77706
Phone (409) 835-0524

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1689801730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 FOLSOM DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067269",
            "telephone_number": "409-835-0524",
            "fax_number": "409-835-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 FOLSOM DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067269",
            "telephone_number": "409-835-0524",
            "fax_number": "409-835-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777055205",
            "country_code": "US",
            "telephone_number": "409-832-1924 x101",
            "fax_number": "409-832-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "HARRY",
        "middle_name": "JAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "618992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.