Jeffrey Allen Beal, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0051470 Issued in FL

Practice address

1100 Loveland Blvd
Port Charlotte, FL 33980-1802

Phone

(941) 624-7200

Fax

(941) 624-7274

NPI assigned

Jul 15, 2006

Last updated

Jan 14, 2013By 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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Florida Department of Health

  dba Lee County Health Department

  • Public Health or Welfare Agency
  • Fort Myers, FL
  • NPI 1154392686
  Medicare reassignment NPD
• Florida Department of Health

  dba Orange County Health Department

  • Public Health or Welfare Agency
  • Orlando, FL
  • NPI 1023055944
  NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1053337501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOVELAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339801802",
            "telephone_number": "941-624-7200",
            "fax_number": "941-624-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOVELAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339801802",
            "telephone_number": "941-624-7200",
            "fax_number": "941-624-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0051470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260282200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Pines Vamc
• Bayshore Pathology Consultants PA
• Gregory Dale Bazzo, DPT
• Beacon Clinic, Inc.
• Marie May Beadle, PHARMD
• Meaghan Beal
• Stacy Kay Beck, ARNP
• Patricia Bediako
• Annia Bejerano Vega
• James Richard Belden

• Internal Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.