Bonny L Beck, M.D.
Individual provider Active NPI Specialist · Du Bois, PA
NPI 1013074152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013074152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MD027694E (PA)
- Practice address
- 90 Beaver Dr
Suite 121D
Du Bois, PA 15801-2440 - Phone
- (814) 371-3323
- Fax
- (814) 371-4022
- NPI assigned
- Jan 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD027694E | PA | Yes |
Addresses
Primary practice location
90 Beaver Dr
Suite 121D
Du Bois, PA 15801-2440
Mailing address
90 Beaver Dr
Suite 121D
Du Bois, PA 15801-2440
Phone (814) 371-3323
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.