Bewell & Associates LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

11039 Issued in TX

Legal business name

BEWELL & ASSOCIATES LLC

Practice address

1408 E Lake Dr
Gladewater, TX 75647-9205

Phone

(903) 399-0858

Fax

(877) 879-7379

NPI assigned

Oct 1, 2011

Last updated

Dec 4, 2012By 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

Beverly Skinner-Wells, ARMDS/RVTNPI 1295019883

Title

General Manager

Phone

(903) 399-0858

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Beverly Skinner-Wells, ARDMS/RVT

  • Sonography Radiologic Technologist
  • Gladewater, TX
  • NPI 1295019883
  NPD (past) Authorized official

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

{
    "created_epoch": "1317427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1942584537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E LAKE DR",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756479205",
            "telephone_number": "903-399-0858",
            "fax_number": "877-879-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E LAKE DR",
            "city": "GLADEWATER",
            "state": "TX",
            "postal_code": "756479205",
            "telephone_number": "903-399-0858",
            "fax_number": "877-879-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWELL & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-01",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "SKINNER-WELLS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "903-399-0858",
        "authorized_official_credential": "ARMDS/RVT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "11039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARMDS-RVT",
            "identifier": "11039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B &G Custom Care (Integrity Companion Care)
• Bailey Bettis
• Sheila R Brinkman, APRN, FNP-C
• Laura Ruth Brown, PHARMD
• Judy Lynn Broyles
• C.L. Kirby, DDS PLLC (Gladewater Family Dental)
• Tracy Casey, FNP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Gladewater, TX
• Providers in Gladewater, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.