Bert Ira Beverly in Waterville - Internal Medicine
Bert Ira Beverly - NPI 1174689343
Bert Ira Beverly is a Internal Medicine in Waterville, Maine. Bert Ira Beverly practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bert Ira Beverly is 1174689343. The last update date is 2007-07-09.
Bert Ira Beverly's current location address is 258 Main St, Waterville, Maine. You can contact this provider via phone number 2078732220 and fax number 2078732221. The mailing address for Bert Ira Beverly is 258 Main St, Waterville, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bert Ira Beverly |
|---|---|
| Address | 258 Main St, Waterville, Maine |
| Phone Number | 2078732220 |
| Fax Number | 2078732221 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174689343 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 258 Main St |
|---|---|
| City | Waterville |
| State | Maine (ME) |
| Post Code | 49014857 |
| Phone Number | 2078732220 |
| Fax Number | 2078732221 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 12762 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 134270000 | ME | -- |
Post Comment/ Review Below
What is the Bert Ira Beverly's 1174689343?
The Bert Ira Beverly's NPI (National Provider Identifier) Number is 1174689343. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bert Ira Beverly is geographically located?
The Bert Ira Beverly is physically situated at the following location: 258 Main St, Waterville, ME, 49014857.
What is Bert Ira Beverly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bert Ira Beverly's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Bert Ira Beverly receive its 1174689343 assignment from the Centers for Medicare & Medicaid Services?
The Bert Ira Beverly was assigned its 1174689343 by the Centers for Medicare & Medicaid Services on 2006-12-29.
As of what date were the details related to Bert Ira Beverly most recently updated or revised?
The information pertaining to Bert Ira Beverly, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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