Beamon, Bradley

Beamon, Bradley is an individual health care provider with primary practice located at 701 Grove Rd Fl 1 , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Beamon, Bradley can be contacted via phone (864) 455-7899.

Contact Information

Primary practice address
701 Grove Rd Fl 1 Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2018-00690 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 89495 South Carolina

Profile Details

NPI number 1063890416
LBN Legal business name Beamon, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Jul 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063890416 NPPES
North Carolina MEDICAID 1063890416
North Carolina MEDICAID PENDING
North Carolina Other 19WGG
North Carolina Other NN2300A

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