DR. MARSHA R BEAL M.D. NPI 1679505176

NPI Information

NPI: 1679505176
Provider Name: DR. MARSHA R BEAL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
20548 FENKELL ST
DETROIT, MI
ZIP 48223
Phone: (313) 255-3333
Get Directions

DR. Marsha R Beal, M.D. is a family medicine in Detroit, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Marsha R Beal, M.D. NPI is 1679505176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20548 FENKELL ST
DETROIT, MI
ZIP 48223-613
Phone: (313) 255-3333
Fax: (313) 255-4335

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/30/2008.

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	207Q00000X	Family Medicine		4301407503	MICHIGAN	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	1144371279	OTHER	MICHIGAN	ADVANTAGE FAMILY HEALTH CENTER
2	E49524	MEDICARE UPIN	MICHIGAN
3	1871645309	OTHER	MICHIGAN	THEA BOWMAN COMMUNITY HEALTH CENTER
4	08-0824561-2	OTHER	MICHIGAN	BCBSM PIN NUMBER
5	H26164126	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	MEDICARE ID NUMBER
6	1396839981	OTHER	MICHIGAN	WALLER HEALTH CARE FOR THE HOMELESS CENTER
7	4763959	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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