Organization Active NPI

Beaumont Spine Associates

  • Physical Medicine & Rehabilitation Physician
  • Beaumont, TX
National Provider Identifier
1710308358
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BEAUMONT SPINE ASSOCIATES
Practice address
3820 Pointe Pkwy
Beaumont, TX 77706-2000
Phone
(409) 767-8221
Fax
(409) 785-4200
NPI assigned
Dec 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mrs. Juanitta Francis
Title
Administrator
Phone
(713) 203-1645

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

3820 Pointe Pkwy
Beaumont, TX 77706-2000

Mailing address

3820 Pointe Pkwy
Beaumont, TX 77706-2000
Phone (409) 767-8221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1710308358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 POINTE PKWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062000",
            "telephone_number": "409-767-8221",
            "fax_number": "409-785-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 POINTE PKWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062000",
            "telephone_number": "409-767-8221",
            "fax_number": "409-785-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT SPINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "JUANITTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-203-1645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.