# BCEP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629291844
- **Authorized official:** SAM S ROBERTS III MD (PRESIDENT)
- **Authorized official phone:** (888) 800-8237

## Contact information

- **Practice address:** 720 W 34TH ST, SUITE 101, AUSTIN, TX 78705-1205
- **Practice address phone:** (330) 493-4443
- **Mailing address:** 4535 DRESSLER RD NW, CANTON, OH 44718-2545
- **Mailing address phone:** (330) 493-4443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 09/13/2018