Individual provider Active NPI

Brent Alan Beaird, MD

  • Family Medicine Physician
  • Big Bear Lake, CA
National Provider Identifier
1003854738
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139605 Issued in CA
Practice address
41870 Garstin Dr
Big Bear Lake, CA 92315-2088
Phone
(909) 866-6501
NPI assigned
Jun 3, 2006
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45720 GA
Family Medicine Physician 207Q00000X 046540 GA
Family Medicine Physician 207Q00000X A139605 CA Primary

Addresses

Primary practice location

41870 Garstin Dr
Big Bear Lake, CA 92315-2088

Mailing address

1636 Malabar Way
Big Bear City, CA 92314-9213
Phone (678) 570-7644

Other practice location 1

29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (909) 336-3651

Other practice location 2

41949 Big Bear Blvd
Big Bear Lake, CA 92315
Phone (909) 878-3696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031110000193 GA Practitioner - Family PracticePractitioner - Emergency Medicine 2365354669 Reassigns benefits to 6 organizations
I20160318000716 CA Practitioner - Family PracticePractitioner - Emergency Medicine 2365354669 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Sierra Emergency Physicians Medical Group IncGroup PAC ID 6709069396, 6 clinicians
Elite Hospitalist Medical Group IncGroup PAC ID 9638394455, 14 clinicians

Practice addresses (Care Compare)

29101 Hospital Rd
Lake Arrowhead, CA 92352-9706
Phone (925) 482-8249

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45720GAMDEmergency Medicine Physician
A139605CAMDFamily Medicine Physician
046540GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 5, 2025 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Covenant Emergency Physicians LLC Emergency Medicine CurrentSince Jun 11, 2011 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 20, 2025 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Nov 1, 2005 Accepting new patients
Big Bear Urgent Care Inc CurrentSince Jul 27, 2022 Accepting new patients
The Doctor's House, Inc Family Medicine CurrentSince Jul 17, 2022 Accepting new patients
Elevate Emergency Medicine Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Hartwell Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2010 Accepting new patients
Elite Hospitalist Medical Group, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 20, 2025 Accepting new patients
Western Sierra Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Hartwell Emergency Physicians LLC Emergency Medicine Current Accepting new patients
Reddy Urgent Care - Royston LLC Past Accepting new patients
Chestatee Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Early Memorial Hospital Family Medicine Past Accepting new patients

Locations

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/bearvch-53b2cd9f

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1003854738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MALABAR WAY",
            "city": "BIG BEAR CITY",
            "state": "CA",
            "postal_code": "923149213",
            "telephone_number": "678-570-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41870 GARSTIN DR",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152088",
            "telephone_number": "909-866-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29101 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Arrowhead",
            "state": "CA",
            "postal_code": "923529706",
            "country_code": "US",
            "telephone_number": "909-336-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41949 Big Bear Blvd",
            "address_purpose": "LOCATION",
            "city": "Big Bear Lake",
            "state": "CA",
            "postal_code": "92315",
            "country_code": "US",
            "telephone_number": "909-878-3696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAIRD",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "45720",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046540",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

Verify at the official NPI Registry.