Organization Active NPI

Roger J Beal DPM

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1790955938
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROGER J BEAL DPM
Doing business as
Roger J Beal DPM
Practice address
4499 Medical Dr
#343
San Antonio, TX 78229-3713
Phone
(210) 614-3623
Fax
(210) 614-2329
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Roger J Beal, DPM
Title
Owner
Phone
(210) 614-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4499 Medical Dr
#343
San Antonio, TX 78229-3713

Mailing address

4499 Medical Dr
#343
San Antonio, TX 78229-3713
Phone (210) 614-3623

Other names 1

  • Roger J Beal DPM Doing business as

National Provider Directory

National Provider Directory

Locations

4499 Medical Dr
#343
San Antonio, TX 78229
Phone (210) 614-3623

4499 Medical Dr
Ste 122
San Antonio, TX 78229
Phone (210) 614-3623

4499 Medical Dr
Ste 306
San Antonio, TX 78229
Phone (210) 614-3623

4499 Medical Dr
Ste 343
San Antonio, TX 78229
Phone (210) 614-3623

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1790955938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "#343",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293713",
            "telephone_number": "210-614-3623",
            "fax_number": "210-614-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "#343",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293713",
            "telephone_number": "210-614-3623",
            "fax_number": "210-614-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER J BEAL DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-3623",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger J Beal DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.