Bruce E. Beacham, M.D., P.A.

LBN: Bruce E. Beacham, M.D., P.A.
Bruce E. Beacham, M.D., P.A. is an health care organization with primary practice located at 1205 York Rd Suite 20, Lutherville MD 21093-6210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bruce E. Beacham, M.D., P.A. can be contacted via phone (410) 583-2328, or through Strain, Carolyn via phone (410) 583-2328.

Contact Information

Primary practice address
1205 York Rd Suite 20 Lutherville MD 21093-6210
Fax: (410) 583-2479
Website:
Authorized official contact:
Name: Strain, Carolyn

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D0019901 Maryland

Profile Details

NPI number 1720260110
LBN Legal business name Bruce E. Beacham, M.D., P.A.
DBA Doing business as
Authorized official Strain, Carolyn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Sep 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720260110 NPPES
Maryland Other 010246 EHP
Maryland Other G847/0001 EHP
Maryland Other 3204645 EHP
Maryland Other KEI3/30272004 EHP
Maryland Other 193582 EHP
Maryland Other 4067476 EHP

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