Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Beau James Ellenbecker, DO

Individual provider Family Medicine Physician · NPI 1679774582

Dr. Beau James Ellenbecker, DO is a Family Practice in Roanoke, Texas. Qualified in 2006, 20 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

610 E Byron Nelson Blvd Ste 101
Roanoke, TX 76262-6541
Phone: (817) 912-8200
Fax: (817) 912-8210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence P1069 (TX)

Record details

NPI number1679774582
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address610 E Byron Nelson Blvd, Suite 101, Roanoke, TX 76262-6541

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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