Southwestern Baptist Theological Seminary

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHWESTERN BAPTIST THEOLOGICAL SEMINARY

Practice address

4501 Stanley Ave
Fort Worth, TX 76115-2156

Phone

(817) 921-8880

Fax

(817) 921-8881

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard R Knight, MDNPI 1922047786

Title

Campus Physician

Phone

(817) 921-8880

Specialties & licenses 1

Addresses

Other names 1

• Campus Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Richard Russell Knight, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1922047786
  NPD Authorized official

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1790013787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22480",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761220001",
            "telephone_number": "817-923-1921",
            "fax_number": "817-921-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 STANLEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761152156",
            "telephone_number": "817-921-8880",
            "fax_number": "817-921-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN BAPTIST THEOLOGICAL SEMINARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CAMPUS PHYSICIAN",
        "authorized_official_telephone_number": "817-921-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Campus Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southwest LTC - Fort Worth Alf, LLC (Colonial Gardens of Fort Worth FW-1)
• Southwest LTC - Fort Worth Alf, LLC (Colonial Gardens of Fort Worth FW-2)
• Southwest Physical Medicine, PLLC
• Southwest Spine Waves LLC
• Southwest Surgical Associates (Christopher Lynch LLC)
• Southwestern LLC
• Sow and Reap Therapeutic Services PLLC
• Norman Sowell, PMHNP
• Sozo Anesthesia PLLC
• Loretta Betrice Sozon

• Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.