Active NPI
Dominic Joel Bewley, DO
- Student in an Organized Health Care Education/Training Program
- El Paso, TX
National Provider Identifier
1740049048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Medical Plaza II 10175 Gateway Blvd West
Suite 140
El Paso, TX 79925 - Phone
- (915) 218-8828
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Medical Plaza II 10175 Gateway Blvd West
Suite 140
El Paso, TX 79925
Mailing address
Medical Plaza II 10175 Gateway Blvd West
Suite 300
El Paso, TX 79925
Phone (915) 218-8828
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240610000880 | TX | Order and Referring Only - Internal Medicine | 6406398155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Palmas del Sol Internal Medicine, PLLC | Current | Accepting new patients |
Locations
10175 Gateway Blvd W
Ste 140
El Paso, TX 79925
Phone (915) 218-8828
10175 Gateway Blvd W
Ste 300
El Paso, TX 79925
Phone (915) 218-8828
Interoperability endpoints
- dominic.bewley@hca8.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1629560818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1740049048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL PLAZA II 10175 GATEWAY BLVD WEST",
"address_2": "SUITE 300",
"city": "EL PASO",
"state": "TX",
"postal_code": "79925",
"telephone_number": "915-218-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL PLAZA II 10175 GATEWAY BLVD WEST",
"address_2": "SUITE 140",
"city": "EL PASO",
"state": "TX",
"postal_code": "79925",
"telephone_number": "915-218-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEWLEY",
"first_name": "DOMINIC",
"middle_name": "JOEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.