Active NPI
Robert Allen Beckman, M.D.
- Pediatrics Physician
- Blue Bell, PA
National Provider Identifier
1023380367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C1-0005364
- Practice address
- 1045 Hereford Drive
Blue Bell, PA 19422-1925 - Phone
- (610) 275-9580
- NPI assigned
- Feb 2, 2012
- Last updated
- Feb 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C1-0005364 | DE | Primary |
Addresses
Primary practice location
1045 Hereford Drive
Blue Bell, PA 19422-1925
Mailing address
1045 Hereford Drive
Blue Bell, PA 19422-1925
Phone (610) 275-9580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1-0005364 | Other | DC | STATE OF DELAWARE, DIVISION OF PROFESSIONAL REGULATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005364 | DE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1023380367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 HEREFORD DRIVE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221925",
"telephone_number": "610-275-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 HEREFORD DRIVE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221925",
"telephone_number": "610-275-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C1-0005364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF DELAWARE, DIVISION OF PROFESSIONAL REGULATION",
"identifier": "C1-0005364",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.