Jerry Becker, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01019382A Issued in IN

Practice address

415 W Columbia St
Evansville, IN 47710-1656

Phone

(812) 464-9133

Fax

(812) 464-0559

NPI assigned

Nov 28, 2005

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Heart Group, PC

  dba The Heart Group

  • Cardiovascular Disease Physician
  • Newburgh, IN
  • NPI 1487624102
  NPD
• The Heart Group, PC

  dba Henderson Lab and X-Ray

  • Radiology Clinic/Center
  • Evansville, IN
  • NPI 1144270984
  NPD (past)
• The Heart Hospital at Deaconess Gateway, LLC

  dba Deaconess Care Group at Heart Hospital

  • Cardiovascular Disease Physician
  • Newburgh, IN
  • NPI 1093948861
  NPD (past)
• The Heart Hospital at Deaconess Gateway, LLC

  • Special Hospital
  • Newburgh, IN
  • NPI 1124292446
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1023091725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101656",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101656",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01019382A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100344130",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64003940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Michelle Beck, LSW
• Mariah Beck
• Adam Michael Becker, M.D.
• Bianca Becker, ATC
• Brian Becker, MD
• Matthew Becker, DO
• Ashwani K Bedi, M.D.
• Zachary Beel, LSW
• Behavior Networks (LifeSong Academy)
• Phillip Henry Behrens, MD

• Cardiovascular Disease Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.