Paul Dwight Beery, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MDD4029 Issued in TX

Practice address

713 E Anderson St
Weatherford, TX 76086-5705

Phone

(817) 596-8751

Fax

(817) 599-1441

NPI assigned

Dec 21, 2006

Last updated

Feb 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

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

• Paul Dwight Beery, MD

  • Diagnostic Radiology Physician
  • Weatherford, TX
  • NPI 1184868572
  NPD (past) Authorized official
• Clinical Care in Radiology

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1578331393
  NPD (past)
• Peachtree Radiology PLLC

  • Diagnostic Radiology Physician
  • Weatherford, TX
  • NPI 1790008522
  NPD (past)
• Weatherford Radiology PLLC

  • Diagnostic Radiology Physician
  • Weatherford, TX
  • NPI 1831328582
  NPD (past)
• PCH Radiology PC

  • Diagnostic Radiology Physician
  • Ponca City, OK
  • NPI 1588845127
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1962566117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760860490",
            "telephone_number": "817-738-2000",
            "fax_number": "817-738-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865705",
            "telephone_number": "817-596-8751",
            "fax_number": "817-599-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERY",
        "first_name": "PAUL",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "MDD4029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033047401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "15654",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "826302203A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00ET77",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER",
            "identifier": "MDD4029",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Bean, FNP
• Whitney Marie Beard Akins
• Katherine Beard, DC
• Marla D Beavers, PA-C
• Mikeal Dwain Beck, CP,LPO
• Megan Bell
• Ben Combs Optical
• Doni Jade Bennett
• Kayla Bennett
• Dan Taylor Benscoter II, D.O.

• Diagnostic Radiology Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.