Beasley, Brent W
Beasley, Brent W is an individual health care provider with primary practice located at 16659 E 23Rd St S , Independence MO 64055-1922. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Beasley, Brent W can be contacted via phone (816) 688-6000.Contact Information
Primary practice address
16659 E 23Rd St S
Independence MO 64055-1922
Phone: (816) 688-6000
Fax: (816) 631-1885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 2000163858 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18452 | Oklahoma |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 0426982 | Kansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2023008158 | Missouri |
Profile Details
| NPI number | 1043278484 |
|---|---|
| LBN Legal business name | Beasley, Brent W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 8th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043278484 | NPPES |
| Missouri | Other | 0401810 | UNITED HEALTHCARE |
| Missouri | Other | 200189777 | UNITED HEALTHCARE |
| Missouri | Other | 186249 | UNITED HEALTHCARE |
| Missouri | Other | 5612302005 | UNITED HEALTHCARE |
| Missouri | Other | 27634041 | UNITED HEALTHCARE |
| Missouri | Other | 5682498 | UNITED HEALTHCARE |
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