Beauford Basped Jr DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEAUFORD BASPED JR DO PLLC

Practice address

5701 Westcreek Dr
Fort Worth, TX 76133-3301

Phone

(682) 841-7171

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Beauford Basped

Title

DO Owner

Phone

(682) 841-7171

Specialties & licenses 1

Addresses

Other names 1

• Beauford Basped Family Medicine Doing business as

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1801513437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 HUDSON CEMETERY RD",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760607804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333301",
            "telephone_number": "682-841-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORD BASPED JR DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "BASPED",
        "authorized_official_first_name": "BEAUFORD",
        "authorized_official_title_or_position": "DO OWNER",
        "authorized_official_telephone_number": "682-841-7171"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauford Basped Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamarcus Beasley
• Beaty Business Spendthrift Trust
• Andrew Dodson Beaty, M.D.
• Kathrine Kimberly Beaty, FNP
• Siobhan D Beaty, LCSW
• Beautiful Beginnings
• Beautiful Beginnings Birth & Women'S Center
• Beautiful Beginnings HCS Corporation
• Beautiful Dove LLC
• Cody Ryan Beaver, M.D.

• 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 Oct 25, 2022; 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.