Active NPI
James L. Atteberry III, M.D.
- Adult Medicine Physician
- Fort Worth, TX
National Provider Identifier
1851754618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- F6400
- Practice address
- 101 Rivercrest Dr
Fort Worth, TX 76107-1148 - Phone
- (817) 994-2671
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | F6400 | TX | Primary |
Addresses
Primary practice location
101 Rivercrest Dr
Fort Worth, TX 76107-1148
Mailing address
101 Rivercrest Dr
Fort Worth, TX 76107-1148
Phone (817) 994-2671
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F6400 | TX | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1851754618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERCREST DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071148",
"telephone_number": "817-994-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIVERCREST DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071148",
"telephone_number": "817-994-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTEBERRY",
"first_name": "JAMES",
"middle_name": "L.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "F6400",
"primary": true
}
],
"identifiers": [],
"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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.