Beavers, Bret
Beavers, Bret is an sole proprietor health care provider with primary practice located at 2901 Acme Brick Plz , Fort Worth TX 76109-4124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Beavers, Bret can be contacted via phone (817) 529-1900.Contact Information
Primary practice address
2901 Acme Brick Plz
Fort Worth TX 76109-4124
Phone: (817) 529-1900
Fax: (817) 529-1910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | P1268 | Texas |
Profile Details
| NPI number | 1821354119 |
|---|---|
| LBN Legal business name | Beavers, Bret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2012 |
| Last updated | Oct 8th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821354119 | NPPES |
| Texas | MEDICAID | 349173001 | |
| Texas | Other | P01833801 | |
| Texas | Other | 8EF802 |
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