NPIMap

Organization Active NPI

LGFM PLLC

  • Family Medicine Physician
  • La Grange, TX
National Provider Identifier
1871153775
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LGFM PLLC
Practice address
2 Saint Marks PL Ste 110
La Grange, TX 78945-1255
Phone
(979) 968-8493
Fax
(979) 968-6388
NPI assigned
Jun 13, 2019
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Alyson Beisert
Title
Credentialing Administrator
Phone
(979) 968-8493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2 Saint Marks PL Ste 110
La Grange, TX 78945-1255

Mailing address

2 Saint Marks PL Ste 110
La Grange, TX 78945-1255
Phone (979) 968-8493

Other practice location 1

1253 N Von Minden St
LA Grange, TX 78945-1262
Phone (979) 968-8493

Other identifiers 1

IdentifierTypeStateIssuer
1871153775MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190919001583 TX Part B Supplier - Clinic/Group Practice 5395075238 Receives reassigned benefits from 13 practitioners
Practice locations: La Grange, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1871153775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 110",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451255",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL STE 110",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451255",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 N Von Minden St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451262",
            "country_code": "US",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LGFM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "BEISERT",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "979-968-8493"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871153775",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.