Beasley Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H7882 Issued in TX

Legal business name

BEASLEY MEDICAL CLINIC

Practice address

3256 Lackland Rd
Fort Worth, TX 76116-5307

Phone

(817) 625-9292

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Barkoci

Title

Billing Manager

Phone

(817) 625-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1922263672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 LACKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165307",
            "telephone_number": "817-625-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 LACKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165307",
            "telephone_number": "817-625-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEASLEY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BARKOCI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-625-9292"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Renee Bean
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• Kiley Beard
• Michael Corey Bearden, LPC
• Bruce Damon Beasley, PA-C
• Clifton H Beasley Jr., MD
• George Beasley, D.O.
• Jamarcus Beasley
• Beaty Business Spendthrift Trust

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.