WILLIAM JEFFERSON BEAVERS MD NPI 1376651547

NPI Information

NPI: 1376651547
Provider Name: WILLIAM JEFFERSON BEAVERS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2101 W ARLINGTON BLVD STE 210
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-5000
Get Directions

William Jefferson Beavers, MD is a diagnostic radiology radiology in Greenville, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. William Jefferson Beavers, MD NPI is 1376651547. 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:

2101 W ARLINGTON BLVD STE 210
GREENVILLE, NC
ZIP 27834-758
Phone: (252) 752-5000
Fax: (252) 931-7694

The enumeration date for this NPI number is 8/28/2006 and was last updated on 9/8/2016.

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	2085R0202X	Radiology	Diagnostic Radiology	0101038248	VIRGINIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	200200640	NORTH 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	D99785	MEDICARE UPIN
2	2028767	MEDICARE PIN	NORTH CAROLINA
3	2028767A	MEDICARE PIN	NORTH CAROLINA
4	P00462670	MEDICARE PIN	NORTH CAROLINA
5	891367E	MEDICAID	NORTH CAROLINA
6	1367E	OTHER	NORTH CAROLINA	BCBS
7	P00136716	MEDICARE PIN	NORTH CAROLINA

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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