Beaumont Plastic Surgery Associates, P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

L9621 Issued in TX

Legal business name

BEAUMONT PLASTIC SURGERY ASSOCIATES, P.A.

Practice address

755 N 11TH St
Suite P3500
Beaumont, TX 77702-1500

Phone

(409) 892-6015

Fax

(409) 899-1338

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Wallace Beckert, M.D.NPI 1932116829

Title

President

Phone

(409) 892-6015

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Oprex Surgery Beaumont, LP

  • Ambulatory Surgical Clinic/Center
  • Beaumont, TX
  • NPI 1174713283

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Wallace Beckert, MD

  • Plastic Surgery Physician
  • Beaumont, TX
  • NPI 1932116829
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1891976171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3500",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-892-6015",
            "fax_number": "409-899-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3500",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-892-6015",
            "fax_number": "409-899-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT PLASTIC SURGERY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BECKERT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-892-6015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L9621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0068LW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaumont Nursing and Rehabilitation LP
• Beaumont Orthodontic Specialists
• Beaumont Pathology Associates PA
• Beaumont Pediatric Center, PLLC
• Beaumont Pharmacy LLC (Malley's Family Pharmacy)
• Beaumont Port Arthur Pathology Associates PA
• Beaumont Primary Healthcare, PLLC
• Beaumont Psychological Services PC
• Beaumont Radiology Group, LLP
• Beaumont Recovery and Consulting, Inc.

• Plastic Surgery Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.