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MICHAEL STEPHEN BEVAN DPM NPI 1629389341


NPI Information

NPI: 1629389341
Provider Name: MICHAEL STEPHEN BEVAN, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

Organization: HEALTHDRIVE PODIATRY GROUP PC

PECOS Registration: Yes

Address:
825 NICOLLET MALL STE 517
MINNEAPOLIS, MN
ZIP 55402
Phone: (612) 788-8778
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Michael Stephen Bevan, DPM is a primary podiatric medicine podiatrist in Minneapolis, MN with 14 years of experience. Michael Stephen Bevan, DPM NPI is 1629389341. 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:

825 NICOLLET MALL STE 517
MINNEAPOLIS, MN
ZIP 55402
Phone: (612) 788-8778

The NPI 1629389341 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)

The enumeration date for this NPI number is 6/28/2010 and was last updated on 2/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric Medicine919MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11629389341MEDICAIDMINNESOTA

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: 11/14/2023

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.