WILLIAM THOMAS BEASLEY DPM NPI 1336140482

NPI Information

  • NPI: 1336140482
  • Provider Name: WILLIAM THOMAS BEASLEY, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 4602 SOUTHERN PKWY
    LOUISVILLE, KY
    ZIP 40214
  • Phone: (502) 366-1479

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NPI Details

William Thomas Beasley, DPM is a podiatrist in Louisville, KY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. William Thomas Beasley, DPM NPI is 1336140482. 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:

4602 SOUTHERN PKWY
LOUISVILLE, KY
ZIP 40214-442
Phone: (502) 366-1479
Fax: (502) 366-6718

The enumeration date for this NPI number is 8/10/2005 and was last updated on 2/4/2013.

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
1213E00000XPodiatrist07000339AINDIANANo
2213E00000XPodiatrist126KENTUCKYYes

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
12003101MEDICARE ID-TYPE UNSPECIFIED
2480031630MEDICARE PINKENTUCKY
380001266MEDICAIDKENTUCKY
41054679OTHERPASSPORT
50509801MEDICARE PINKENTUCKY
690125568MEDICAIDKENTUCKY
7100075860MEDICAIDINDIANA
8195040MEDICARE PININDIANA

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: 11/21/2025

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