DR. BROADUS MONROE BEESON M.D. NPI 1992715742

NPI Information

  • NPI: 1992715742
  • Provider Name: DR. BROADUS MONROE BEESON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 240 MEDICAL PARK BLVD
    SUITE 3800
    BRISTOL, TN
    ZIP 37620
  • Phone: (423) 990-2466

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NPI Details

DR. Broadus Monroe Beeson, M.D. is a family medicine in Bristol, TN. 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. Broadus Monroe Beeson, M.D. NPI is 1992715742. 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:

240 MEDICAL PARK BLVD
SUITE 3800
BRISTOL, TN
ZIP 37620-346
Phone: (423) 990-2466
Fax: (423) 990-2407

The enumeration date for this NPI number is 8/8/2006 and was last updated on 9/16/2009.

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
1207Q00000XFamily MedicineMD0000014671TENNESSEEYes

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
1MC12063MEDICARE UPINVIRGINIA
2C06181MEDICARE UPINVIRGINIA
3103I086169MEDICARE UPINTENNESSEE
43700592MEDICARE UPINTENNESSEE
51513307MEDICAIDTENNESSEE
61992715742MEDICAIDVIRGINIA

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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