DR. BRADLEY BEAMON M.D. NPI 1063890416

NPI Information

NPI: 1063890416
Provider Name: DR. BRADLEY BEAMON, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-7899
Get Directions

DR. Bradley Beamon, M.D. is a pediatric emergency medicine pediatrics in Greenville, SC. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Bradley Beamon, M.D. NPI is 1063890416. 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:

701 GROVE RD FL 1
GREENVILLE, SC
ZIP 29605-210
Phone: (864) 455-7899
Fax: (864) 455-5474

The NPI 1063890416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2015 and was last updated on 7/3/2023.

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	208000000X	Pediatrics		2018-00690	NORTH CAROLINA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	89495	SOUTH CAROLINA	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	1063890416	MEDICAID	NORTH CAROLINA
2	PENDING	MEDICAID	SOUTH CAROLINA
3	19WGG	OTHER	NORTH CAROLINA	BCBS OF NC
4	NN2300A	OTHER	NORTH CAROLINA	MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »