Individual provider Active NPI

Billie Raymond Pugh Jr., MD

  • Cardiovascular Disease Physician
  • Fort Worth, TX
National Provider Identifier
1962490516
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D9616 Issued in TX
Practice address
1300 W Terrell Ave
#500
Fort Worth, TX 76104-2800
Phone
(817) 252-5000
Fax
(817) 252-5060
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D9616 TX Primary

Addresses

Primary practice location

1300 W Terrell Ave
#500
Fort Worth, TX 76104-2800

Mailing address

1300 W Terrell Ave
#500
Fort Worth, TX 76104-2800
Phone (817) 252-5000

Other identifiers 1

IdentifierTypeStateIssuer
85K176OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Cardiology, P.a. Current Accepting new patients

Locations

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1300 W Terrell Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 252-5000

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1962490516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE",
            "address_2": "#500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042800",
            "telephone_number": "817-252-5000",
            "fax_number": "817-252-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE",
            "address_2": "#500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042800",
            "telephone_number": "817-252-5000",
            "fax_number": "817-252-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "BILLIE",
        "middle_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "D9616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "85K176",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

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