DR. BEVERLY J ENTWISLE M.D. NPI 1700889169

NPI Information

NPI: 1700889169
Provider Name: DR. BEVERLY J ENTWISLE, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
250 PLEASANT STREET
YEAPLE BUILDING
CONCORD, NH
ZIP 03301
Phone: (603) 228-7200
Get Directions

DR. Beverly J Entwisle, M.D. is a geriatric medicine internal medicine in Concord, NH. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Beverly J Entwisle, M.D. NPI is 1700889169. 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:

250 PLEASANT STREET
YEAPLE BUILDING
CONCORD, NH
ZIP 03301
Phone: (603) 228-7200
Fax: (603) 228-7307

The NPI 1700889169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 10/24/2007.

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	207RG0300X	Internal Medicine	Geriatric Medicine	7945	NEW HAMPSHIRE	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	25526	OTHER	NEW HAMPSHIRE	CIGNA ID#
2	H005016	OTHER	NEW HAMPSHIRE	TRICARE ID#
3	E14790	MEDICARE UPIN	NEW HAMPSHIRE
4	3016717	OTHER	NEW HAMPSHIRE	AETNA ID#
5	RE0846	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE
6	30002613	MEDICAID	NEW HAMPSHIRE
7	E14790	OTHER	NEW HAMPSHIRE	HARVARD PILGRIM ID#
8	371528	OTHER	NEW HAMPSHIRE	MVP ID#

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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