Active NPI
Bret Beavers, MD
- Orthopaedic Surgery Physician
- Fort Worth, TX
National Provider Identifier
1821354119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- P1268
- Practice address
- 2901 Acme Brick PLZ
Fort Worth, TX 76109-4124 - Phone
- (817) 529-1900
- Fax
- (817) 529-1910
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | P1268 | TX | Primary |
Addresses
Primary practice location
2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Mailing address
2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Phone (817) 529-1900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349173001 | Medicaid | TX | |
| P01833801 | Other | TX | MEDICARE RAILROAD |
| 8EF802 | Other | TX | BCBS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Acme Brick PLZ
Fort Worth, TX 76109-4124
Phone 81752919002010
Hospital & facility affiliations
- Renew Home Health
- Reliant at Home
- Texas Health Harris Methodist Fort Worth
- Texas Health Harris Methodist Hospital Azle
- Glen Rose Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.11 of 100
- Quality
- 55.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 50 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1268 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
Interoperability endpoints
- bbeavers@direct.osmifw.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Fort Worth, TX
- NPI 1871878876
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ft Worth, TX
- NPI 1336234087
-
- Home Health Agency
- Fort Worth, TX
- NPI 1407191612
-
- Rural Acute Care Hospital
- Glen Rose, TX
- NPI 1700826575
-
- General Acute Care Hospital
- Azle, TX
- NPI 1508899204
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1821354119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 ACME BRICK PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094124",
"telephone_number": "817-529-1900",
"fax_number": "817-529-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 ACME BRICK PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094124",
"telephone_number": "817-529-1900",
"fax_number": "817-529-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVERS",
"first_name": "BRET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "P1268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349173001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01833801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8EF802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.
- 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.