Individual provider Active NPI

Frederick L Bean, M.D.

  • Family Medicine Physician
  • Olivet, MI
National Provider Identifier
1023085693
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301037024 Issued in MI
Practice address
221 Engle Dr
Olivet, MI 49076-9603
Phone
(269) 749-4681
NPI assigned
Mar 2, 2006
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301037024 MI Primary

Addresses

Primary practice location

221 Engle Dr
Olivet, MI 49076-9603

Mailing address

221 Engle Dr
Olivet, MI 49076-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000781 MI Practitioner - Emergency MedicinePractitioner - Family Practice 0042225088 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301037024MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Theoria Medical CurrentSince Aug 1, 2022 Accepting new patients
Atrium Marshall LLC Past Accepting new patients
Eaton Care Center, LLC Past Accepting new patients
Ovid Healthcare LLC Past Accepting new patients
Pennock Hospital Family Medicine Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Pennock Hospital Past Accepting new patients
Grand Haven Opco LLC Past Accepting new patients
Atrium Centreville LLC Past Accepting new patients
Atrium Timbers LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1023085693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ENGLE DR",
            "city": "OLIVET",
            "state": "MI",
            "postal_code": "490769603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ENGLE DR",
            "city": "OLIVET",
            "state": "MI",
            "postal_code": "490769603",
            "telephone_number": "269-749-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "FREDERICK",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301037024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivet, MI

Sources for this page

Verify at the official NPI Registry.