BEVERLY L WADDLETON DO NPI 1629004684

NPI Information

  • NPI: 1629004684
  • Provider Name: BEVERLY L WADDLETON, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 108 PARKER ST
    STE.300
    QUITMAN, TX
    ZIP 75783
  • Phone: (903) 763-6220

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NPI Details

Beverly L Waddleton, DO is a family medicine in Quitman, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Beverly L Waddleton, DO NPI is 1629004684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 PARKER ST
STE.300
QUITMAN, TX
ZIP 75783-102
Phone: (903) 763-6220
Fax: (903) 763-6222

The NPI 1629004684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services (HCPCS:93798)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 6/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG0244TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D97810MEDICARE UPIN
2120495005MEDICAIDTEXAS
38E0434MEDICARE PINTEXAS
48L1603MEDICARE PINTEXAS
5P00222535OTHERMEDICARE RR
6P00222535MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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