Beeson, Broadus Monroe

Beeson, Broadus Monroe is an individual health care provider with primary practice located at 240 Medical Park Blvd Suite 3800, Bristol TN 37620-7346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Beeson, Broadus Monroe can be contacted via phone (423) 990-2466.

Contact Information

Primary practice address
240 Medical Park Blvd Suite 3800 Bristol TN 37620-7346
Phone: (423) 990-2466
Fax: (423) 990-2407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000014671 Tennessee

Profile Details

NPI number 1992715742
LBN Legal business name Beeson, Broadus Monroe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 16th, 2009 - about 16 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 1992715742 NPPES
Tennessee MEDICAID 1513307
Tennessee MEDICAID 1992715742

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