Organization Active NPI

Beeville Internists, PLLC

  • Nephrology Physician
  • Beeville, TX
National Provider Identifier
1881833218
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M2669 Issued in TX
Legal business name
BEEVILLE INTERNISTS, PLLC
Practice address
711 E Houston St
Beeville, TX 78102-5023
Phone
(361) 343-2258
NPI assigned
Feb 9, 2009
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Behram A Khan, MDNPI 1346280070
Title
Owner
Phone
(361) 343-2258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M2669 TX Primary

Addresses

Primary practice location

711 E Houston St
Beeville, TX 78102-5023

Mailing address

PO Box 3808
Corpus Christi, TX 78463-3808
Phone (361) 884-2904

Other identifiers 3

IdentifierTypeStateIssuer
179720107MedicaidTX
204852202MedicaidTX
M2669OtherTXPHYSICIAN PERMIT

National Provider Directory

National Provider Directory

Locations

7514 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 334-4690

Practitioners & affiliated clinicians

Practitioners 1

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": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1881833218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3808",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784633808",
            "telephone_number": "361-884-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025023",
            "telephone_number": "361-343-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEVILLE INTERNISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "BEHRAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-343-2258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M2669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179720107",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204852202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PERMIT",
            "identifier": "M2669",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.