Individual provider Active NPI

Bevan Taylor Choate

  • Urology Physician
  • Albuquerque, NM
National Provider Identifier
1699118968
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
V9576 Issued in TX
Practice address
MSC 10 5610
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone
(505) 272-5505
Fax
(505) 272-6399
NPI assigned
Apr 16, 2013
Last updated
Dec 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Urology Physician 208800000X V9576 TX Primary

Addresses

Primary practice location

MSC 10 5610
1 University of New Mexico
Albuquerque, NM 87131-0001

Mailing address

1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-5505

Other practice location 1

600 Interstate 20 E
Stanton, TX 79782
Phone (432) 607-3200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118000147 TX Practitioner - Urology 5395989834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin County Hospital DistrictGroup PAC ID 8527958552, 29 clinicians

Practice addresses (Care Compare)

600 E
20 Martin County Hospital District
Stanton, TX 79782-0640
Phone 43260732003225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V9576TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin County Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Martin County Hospital District CurrentSince Dec 1, 2025 Accepting new patients

Locations

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

Organizations & group practices 2

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 1

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1699118968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-5505",
            "fax_number": "505-272-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 10 5610",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-5505",
            "fax_number": "505-272-6399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 INTERSTATE 20 E",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "TX",
            "postal_code": "79782",
            "country_code": "US",
            "telephone_number": "432-607-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "BEVAN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "V9576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.