NPIMap

Organization Active NPI

Bebd Telehealth

Doing business as BIg Easy Bad Dog LLC

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1730731688
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BEBD TELEHEALTH
Doing business as
BEBD Telehealth
BIg Easy Bad Dog LLC
Practice address
2009 Tremont Ave
Fort Worth, TX 76107-3959
Phone
(817) 437-3077
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Susan BraddockNPI 1528635141
Title
Ceo
Phone
(817) 437-3077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2009 Tremont Ave
Fort Worth, TX 76107-3959

Mailing address

2009 Tremont Ave
Fort Worth, TX 76107-3959
Phone (817) 437-3077

Other names 2

  • BEBD Telehealth Doing business as
  • BIg Easy Bad Dog LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.bebdtelehealt.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1730731688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 TREMONT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073959",
            "telephone_number": "817-437-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 TREMONT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073959",
            "telephone_number": "817-437-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEBD TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "BRADDOCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-437-3077"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bebdtelehealt.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "2009 Tremont Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761073959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BEBD Telehealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BIg Easy Bad Dog LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.