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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: July 19, 2026.

  • Individual
  • Male
  • Family Medicine

About SAMUEL COLERIDGE

This page provides the complete NPI Profile along with additional information for Samuel Coleridge, a primary care provider established in Fort Worth, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1013986058 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number J2546 (TX). The provider is registered as an individual and his NPI record was last updated July 2026.

NPI
1013986058 Verify this NPI
Provider Name
SAMUEL COLERIDGE
Gender
Male
Entity Type
Individual
Location Address
2106 N MAIN ST FORT WORTH, TX 76106
Location Phone
(817) 625-4254
Location Fax
(817) 740-1318
Mailing Address
3500 CAMP BOWIE BLVD FORT WORTH, TX 76107
Mailing Phone
(817) 735-0170
Mailing Fax
(817) 735-0111
Is Sole Proprietor?
No
Enumeration Date
03-14-2006
Last Update Date
07-13-2026
Code Navigator

A primary care provider (PCP) like Samuel Coleridge sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
J2546
License State
TX
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
2106 N MAIN ST
FORT WORTH, TX 76106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013986058, enumerated as an "individual" on March 14, 2006.

The provider is located at 2106 N MAIN ST FORT WORTH, TX 76106 and the phone number is (817) 625-4254.

Family Medicine with taxonomy code 207Q00000X.