Bethany Kingsberry, APRN-NP

Nurse practitioner in Bryan, Texas · NPI 1770045767

Bethany Kingsberry is one of 99 nurse practitioners practicing in Bryan, Texas. Bethany Kingsberry practices with Surgicalist Of TX PLLC.

Registry record (NPPES)

NPI
1770045767
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Address on file
5050 NE Hoyt St Ste 610
Portland, OR 97213-2985
(503) 467-4761
Enumerated
Apr 1, 2019
Record last updated
Mar 4, 2025
License states listed
OK, OR

Medicare (CMS)

Enrollment
Medicare-enrolled in GA, MA, OK, OR, TX
Nurse Practitioner
Revalidation due
No date set by CMS

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  • Part D prescribing
  • Procedure volumes by CPT code
  • Group affiliations and colleagues
  • Full enrollment history
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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.