Provider Demographics
NPI:1336674316
Name:NEXTGEN RPM
Entity Type:Organization
Organization Name:NEXTGEN RPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:BILBREY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:214-274-4482
Mailing Address - Street 1:5902 US HIGHWAY 87
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:TX
Mailing Address - Zip Code:79029-6830
Mailing Address - Country:US
Mailing Address - Phone:972-807-3696
Mailing Address - Fax:972-474-9141
Practice Address - Street 1:5902 US HIGHWAY 87
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:TX
Practice Address - Zip Code:79029-6830
Practice Address - Country:US
Practice Address - Phone:972-807-3696
Practice Address - Fax:972-474-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN