Dr. Bryan D Beaver
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Bryan D Beaver, M.D. is a Lafayette, Indiana based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Bryan D Beaver is
2304 Kossuth St, Lafayette, Indiana - 47904-3240. He can be contacted on phone at
765-446-9600 and fax number 765-446-1100.
Dr. Bryan D Beaver is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bryan D Beaver is
1396833109 which was assigned by NPPES on 10 Oct, 2006 and it was last updated on 15 Oct, 2019.
Dr. Bryan D Beaver license number is
01082967A for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Indiana.
Dr. Bryan D Beaver is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Bryan D Beaver basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Bryan D Beaver |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Bryan D Beaver address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2304 Kossuth St
Lafayette, IN, 47904-3240
United States |
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| Phone Number : | 765-446-9600 |
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| Fax Number : | 765-446-1100 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1396833109 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Oct, 2006 |
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| Last Updated On : | 15 Oct, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bryan D Beaver are as mentioned. Primary taxonomy code for Dr. Bryan D Beaver, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | M1812 | GU |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 01082967A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bryan D Beaver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 208338905 | MEDICAID | MO | |
| 300031240 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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165 MARATA ST., SUITE 105
TAMUNING, YES, 96913
United States Minor Outlying Islands | TAMUNING, YES | 671-969-8276 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2304 Kossuth St
Lafayette, IN, 47904-3240
United States |
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| Phone Number : | 765-446-9600 |
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| Fax Number : | 765-446-1100 |
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Business Location:
Patients can refer following map for directions to
Dr. Bryan D Beaver practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.