George Beasley, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H7882 Issued in TX

Practice address

3256 Lackland Rd
Fort Worth, TX 76116-5307

Phone

(817) 377-1500

Fax

(817) 731-4272

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Patrick W Hisel, MD, PA

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1528149416
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1760499396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121369",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761211369",
            "telephone_number": "817-377-1500",
            "fax_number": "817-731-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 LACKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165307",
            "telephone_number": "817-377-1500",
            "fax_number": "817-731-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "GEORGE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080019357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00F98H",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11587501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiley Beard
• Michael Corey Bearden, LPC
• Beasley Medical Clinic
• Bruce Damon Beasley, PA-C
• Clifton H Beasley Jr., MD
• Jamarcus Beasley
• Beaty Business Spendthrift Trust
• Andrew Dodson Beaty, M.D.
• Kathrine Kimberly Beaty, FNP
• Siobhan D Beaty, LCSW

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.