Active NPI
Beverly England Grose, PA-C
- Physician Assistant
- Fort Sam Houston, TX
National Provider Identifier
1861777179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08714
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-7500
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA08714 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 92.78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA08714 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates PA PC | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Maryland Inpatient Care Specialists LLC | Past | Accepting new patients |
Locations
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medicine Physician
- Chestertown, MD
- NPI 1255213070
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1861777179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSE",
"first_name": "BEVERLY",
"middle_name": "ENGLAND",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.