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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL COLERIDGE
NPI 1013986058
Family Medicine in Fort Worth, TX

Active since March 14, 2006
2106 N MAIN ST, FORT WORTH, TX 76106(817) 625-4254(817) 740-1318 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Coleridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL COLERIDGE (NPI 1013986058) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (J2546) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1013986058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL COLERIDGE
Location Address2106 N MAIN STFort Worth, TX 76106-8511
Mailing Address3500 Camp Bowie BlvdFort Worth, TX 76107-2644 · (817) 735-0170 · Fax (817) 735-0111
Phone(817) 625-4254
Fax(817) 740-1318
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1013986058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J2546
Definition
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.
2106 N MAIN ST, Fort Worth, TX 76106
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZENAIDA P RACASA-ALIYAS MD
Pediatrics
2106 N MAIN ST
FORT WORTH, TX 76106
Tarrant County (817) 625-4254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Coleridge's NPI number?

The NPI number for Samuel Coleridge is 1013986058. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Samuel Coleridge located?

Samuel Coleridge practices at 2106 N Main St, Fort Worth, TX 76106. The listed phone number is (817) 625-4254.

What is Samuel Coleridge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Samuel Coleridge was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.