Leslie M. Bishop, M.D.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

J3993 Issued in TX

Practice address

3070 College St, #406
Beaumont, TX 77701

Phone

(512) 275-3700

NPI assigned

Aug 18, 2006

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1891809505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 N LAMAR BLVD #300725",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051108",
            "telephone_number": "512-275-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST, #406",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "512-275-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "LESLIE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "J3993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care Beaumont)
• Bio-Medical Applications of Texas, Inc. (Golden Triangle Dialysis Center)
• Biotronics Kidney Center of Beaumont Inc (Biotronics Kidney Center of Beaumont)
• Robert Rankin Birdwell, M.D.
• Birth Center of Beaumont
• Kamal Chafic Bitar, D.D.S.
• BJ & M Healthcare Services, LLC.
• Jessica A Black, PA-C
• Jorge Washington Black, MD
• Kristen Leanne Blackwell, FNP-C

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.