Organization Active NPI

Neil M Bealka Jr MD PA

  • Ophthalmology Physician
  • Hillsboro, TX
National Provider Identifier
1871906776
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NEIL M BEALKA JR MD PA
Practice address
1400 Franklin
Hillsboro, TX 76645
Phone
(254) 582-0282
Fax
(254) 865-8293
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
NEIL M BEALKA JR MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Neil Michael Bealka Jr., MDNPI 1336182310
Title
Physician
Phone
(254) 865-4267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1400 Franklin
Hillsboro, TX 76645

Mailing address

2406 S. Business Hwy 36
Gatesville, TX 76528
Phone (254) 865-4267

Other identifiers 1

IdentifierTypeStateIssuer
141555601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141027002351 TX DME Supplier - Physician - Ophthalmology 9133191497 1 other NPI on this enrollment
Practice locations: Hillsboro, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Neil M Bealka Jr MD PA

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1871906776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S. BUSINESS HWY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "76528",
            "telephone_number": "254-865-4267",
            "fax_number": "254-865-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRANKLIN",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "76645",
            "telephone_number": "254-582-0282",
            "fax_number": "254-865-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL M BEALKA JR MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIL M BEALKA JR MD PA",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "BEALKA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "254-865-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141555601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.