Individual provider Active NPI

Bedar Stephane Doyle, BSMT/USAR

  • Clinical Medical Laboratory
  • Livingston, TX
National Provider Identifier
1831784354
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D2147203 Issued in TX
Practice address
304 N Washington Ave Ste B
Livingston, TX 77351-9126
Phone
(214) 729-7978
Fax
(281) 596-7574
NPI assigned
Mar 5, 2021
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D2147203 TX Primary

Addresses

Primary practice location

304 N Washington Ave Ste B
Livingston, TX 77351-9126

Mailing address

PO Box 551
Livingston, TX 77351-0010
Phone (214) 729-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45D2147203TXMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Bca DX Laboratory & Consulting CurrentSince Mar 7, 2021 Accepting new patients

Locations

304 N Washington Ave
Ste B
Livingston, TX 77351
Phone (214) 729-7978

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1831784354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510010",
            "telephone_number": "214-729-7978",
            "fax_number": "281-596-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N WASHINGTON AVE STE B",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519126",
            "telephone_number": "214-729-7978",
            "fax_number": "281-596-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "BEDAR",
        "middle_name": "STEPHANE",
        "credential": "BSMT/USAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2147203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.