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
Fax: (817) 529-1910
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821354119 NPPES
Texas MEDICAID 349173001
Texas Other P01833801
Texas Other 8EF802

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