Bruce Edmund Beacham in Lutherville - Dermatology
Bruce Edmund Beacham - NPI 1386625861
Bruce Edmund Beacham is a Dermatology in Lutherville, Maryland. Bruce Edmund Beacham practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Bruce Edmund Beacham is 1386625861. The last update date is 2008-09-09.
Bruce Edmund Beacham's current location address is 1205 York Rd, Lutherville, Maryland. You can contact this provider via phone number 4105832328 and fax number 4105832479. The mailing address for Bruce Edmund Beacham is 1205 York Rd, Lutherville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Edmund Beacham |
|---|---|
| Address | 1205 York Rd, Lutherville, Maryland |
| Phone Number | 4105832328 |
| Fax Number | 4105832479 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386625861 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2008-09-09 |
Provider Mailing Address Detail
| Address | 1205 York Rd |
|---|---|
| City | Lutherville |
| State | Maryland (MD) |
| Post Code | 210936210 |
| Phone Number | 4105832328 |
| Fax Number | 4105832479 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | D0019901 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3204645 | MD | AETNA | |
| 134242486 | MD | CIGNA | |
| 4067476 | MD | AETNA | |
| 10246 | MD | EHP | |
| 1720260110 | MD | GROUP NPI NUMBER | |
| P00012132 | MD | RAILROAD MEDICARE | |
| KEI3BR | MD | CARE FIRST BCBS | |
| G847 | MD | CARE FIRST BLUE CHOICE | |
| G847 | MD | FEDERAL BCBS | |
| 37044 | MD | COVENTRY |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce Edmund Beacham by the Centers for Medicare & Medicaid Services?
The Bruce Edmund Beacham has been assigned the NPI (National Provider Identifier) 1386625861 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Bruce Edmund Beacham located?
The Bruce Edmund Beacham is located at 1205 York Rd, Lutherville, MD 210936210.
What is Bruce Edmund Beacham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bruce Edmund Beacham is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.
On what date did the Bruce Edmund Beacham receive the assignment of its 1386625861 from the Centers for Medicare & Medicaid Services?
The Bruce Edmund Beacham was issued its 1386625861 by the Centers for Medicare & Medicaid Services on 2005-11-10.
As of what date were the details pertaining to Bruce Edmund Beacham last refreshed?
The information related to the Bruce Edmund Beacham, including its address, specialty, and other relevant details, was last updated on 2008-09-09.