DR. MARK STOCKTON BEVERIDGE M.D. NPI 1477949873

NPI Information

NPI: 1477949873
Provider Name: DR. MARK STOCKTON BEVERIDGE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
220 ATHENS WAY # 240
NASHVILLE, TN
ZIP 37228
Phone: (833) 208-7770
Get Directions

DR. Mark Stockton Beveridge, M.D. is a pediatrics in Nashville, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Mark Stockton Beveridge, M.D. NPI is 1477949873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

220 ATHENS WAY # 240
NASHVILLE, TN
ZIP 37228-311
Phone: (833) 208-7770

The NPI 1477949873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2015 and was last updated on 2/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LH0002X	Anesthesiology	Hospice and Palliative Medicine	R7172	TEXAS	No
2	2080H0002X	Pediatrics	Hospice and Palliative Medicine	R7172	TEXAS	No
3	208000000X	Pediatrics		R7172	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	391078803	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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