Individual provider Active NPI

Neil A Burrell, D.P.M.

  • Foot Surgery Podiatrist
  • Beaumont, TX
National Provider Identifier
1972509032
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
TX1013 Issued in TX
Practice address
6260 Delaware St
Beaumont, TX 77706-7602
Phone
(409) 899-1538
Fax
(409) 899-2120
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X TX1013 TX Primary

Addresses

Primary practice location

6260 Delaware St
Beaumont, TX 77706-7602

Mailing address

6260 Delaware St
Beaumont, TX 77706-7602
Phone (409) 899-1538

Other identifiers 1

IdentifierTypeStateIssuer
127190006MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
TX1013TXMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Foot Specialists Inc PastSince Jun 1, 1998 Accepting new patients

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1972509032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067602",
            "telephone_number": "409-899-1538",
            "fax_number": "409-899-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067602",
            "telephone_number": "409-899-1538",
            "fax_number": "409-899-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "NEIL",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "TX1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127190006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.