PETER A BIDWELL FAMILY PRACTICE
NPI 1548483589
Clinic/Center - Primary Care in Jasper, TX

Active since April 10, 2007
1007 DICKERSON DR, JASPER, TX 75951(409) 384-3421(409) 384-7443 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter A Bidwell Family Practice NPPES

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

PETER A BIDWELL FAMILY PRACTICE (NPI 1548483589) is a healthcare organization registered as a primary care in Jasper, Texas and active in the NPI registry since April 2007. The organization lists Peter A Bidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1548483589
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePETER A BIDWELL FAMILY PRACTICE
Location Address1007 DICKERSON DRJasper, TX 75951-5110
Mailing Address1007 Dickerson DrJasper, TX 75951-5110 · (409) 384-3421 · Fax (409) 384-7443
Fax(409) 384-7443
Organization SubpartNo
Authorized OfficialPeter A BidwellOwner · (409) 384-3421
Enumeration DateApril 10, 2007
Last NPPES UpdateMarch 12, 2008
NPI 1548483589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · FO386
1007 DICKERSON DR, Jasper, TX 75951

Other Identifiers 2

Medicare PIN00EM46TX
Other0046QPTX · Bcbs

Other Providers at the Same Location


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

Family Medicine
1007 DICKERSON DR
JASPER, TX 75951

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548483589, enumerated as an "organization" on April 10, 2007.

The provider is located at 1007 DICKERSON DR JASPER, TX 75951 and the phone number is (409) 384-3421.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.