The Physician's Clinic, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

J8455 Issued in TX

Legal business name

THE PHYSICIAN'S CLINIC, PA

Practice address

921 Shiloh Rd
Ste C100
Tyler, TX 75703-1431

Phone

(903) 561-7030

Fax

(903) 561-7073

NPI assigned

Jan 27, 2010

Last updated

Jan 27, 2010By 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

Andrew E Bentley, MDNPI 1326151523

Title

President

Phone

(903) 561-7030

Specialties & licenses 1

Addresses

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.

• Andrew E Bentley, MD

  • Hospitalist Physician
  • Tyler, TX
  • NPI 1326151523
  NPD Authorized official

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1942531124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD",
            "address_2": "STE C100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031431",
            "telephone_number": "903-561-7030",
            "fax_number": "903-561-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD",
            "address_2": "STE C100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031431",
            "telephone_number": "903-561-7030",
            "fax_number": "903-561-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIAN'S CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-561-7030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "J8455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center at Grande, LLC
• The Clairmont Tyler, LP
• The Knee Clinic PC
• The Nursing & Rehabilitation Center of Pinecrest, L.P. (Pinecrest Nursing & Rehabilitation Center)
• The Ortho Spine Clinic
• The Physicians Clinic PA
• The Rooted Path Therapy PLLC
• The Tyler Birth House, LLC
• The University of Texas Southwestern Medical Center at Dallas
• Therainc, Inc

• Durable Medical Equipment & Medical Supplies in Tyler, TX
• Providers in Tyler, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.