Active NPI
William D. Beyer, M.D.
- Family Medicine Physician
- Saint Croix Falls, WI
National Provider Identifier
1053420067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26096
- Practice address
- 204 S Adams St
Saint Croix Falls, WI 54024-9449 - Phone
- (715) 483-3221
- Fax
- (715) 483-0507
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26096 | WI | Primary |
Addresses
Primary practice location
204 S Adams St
Saint Croix Falls, WI 54024-9449
Mailing address
204 S Adams St
Saint Croix Falls, WI 54024-9449
Phone (715) 483-3221
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0111640 | Other | MEDICA | |
| HP10128 | Other | HEALTHPARTNERS | |
| 27G28BE | Other | BCBS MN | |
| 30762500 | Medicaid | WI | |
| 64Q22BE | Other | BCBS MN | |
| NA9030224001 | Other | PREFERRED ONE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26096 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053420067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S ADAMS ST",
"city": "SAINT CROIX FALLS",
"state": "WI",
"postal_code": "540249449",
"telephone_number": "715-483-3221",
"fax_number": "715-483-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S ADAMS ST",
"city": "SAINT CROIX FALLS",
"state": "WI",
"postal_code": "540249449",
"telephone_number": "715-483-3221",
"fax_number": "715-483-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "WILLIAM",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "26096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0111640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP10128",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "27G28BE",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30762500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "64Q22BE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "NA9030224001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Croix Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.