MEDICARE: DR. JON THOMAS BEEZLEY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	L0025	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	930096177	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8J1862	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8A0465	OTHER	TX	BCBS
5	8A3020	OTHER	TX	BCBS
6	930096176	OTHER	TX	RAILROAD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	P00148168	OTHER	TX	RAILROAD
10	930094840	OTHER	TX	RAILROAD
12	P01170066	OTHER	TX	RAILROAD MCARE
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	8BT311	OTHER	TX	BCBS THRU SAEMA
15	8A3030	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1073598058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JON THOMAS BEEZLEY D.O.

Provider Business Mailing Address
First Line	:	714 SUSSEX CT
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-8869
Country	:	US
Telephone Number	:	817-488-9124
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2504
Country	:	US
Telephone Number	:	817-548-6205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	10/08/2025

Similar Medicare Providers

1841293107 — TRAYCE L ORR D.O.
Practice Location Address:

800 W RANDOL MILL RD # 2300
ARLINGTON, TX
76012-2504

Practice Phone: 817-960-6648
Practice Fax: 817-960-6649

1932197621 — ROBERT M KLEINHAUS MD
Practice Location Address:

800 W RANDOL MILL RD STE 2300
ARLINGTON, TX
76012-2504

Practice Phone: 817-960-6648
Practice Fax: 817-960-6649

1790765816 — DR. J TRACE WORRELL MD
Practice Location Address:

800 W RANDOL MILL RD FL 3
ARLINGTON, TX
76012-2504

Practice Phone: 817-960-6225
Practice Fax: 817-960-6519

1366422743 — DR. JAMES J SMITH MD
Practice Location Address:

800 W RANDOL MILL RD FL 3
ARLINGTON, TX
76012-2504

Practice Phone: 817-960-6225
Practice Fax: 817-960-6519

1235108895 — DR. MARK B KIPP MD
Practice Location Address:

800 W RANDOL MILL RD
ARLINGTON, TX
76012-2504

Practice Phone: 817-548-6202
Practice Fax:

1407825078 — DR. JANE TORGERSON MD
Practice Location Address:

800 W RANDOL MILL RD
ARLINGTON, TX
76012-2504

Practice Phone: 817-548-6202
Practice Fax:

Directions to “ DR. JON THOMAS BEEZLEY D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.