Active NPI
Rebecca Beach, MD
- Family Medicine Physician
- Madison, WI
National Provider Identifier
1073533063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33607
- Practice address
- 504 N Fair Oaks Ave
Madison, WI 53714-1556 - Phone
- (608) 577-3109
- Fax
- (608) 835-2648
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- 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 | 33607 | WI | Primary |
Addresses
Primary practice location
504 N Fair Oaks Ave
Madison, WI 53714-1556
Mailing address
301 E 2ND St
Richland Center, WI 53581-1900
Phone (608) 647-6161
Other names 1
- Dr. Rebecca A Beyer
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 |
|---|---|---|---|
| 33607 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1073533063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 2ND ST",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535811900",
"telephone_number": "608-647-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N FAIR OAKS AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537141556",
"telephone_number": "608-577-3109",
"fax_number": "608-835-2648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "33607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BEYER",
"middle_name": "A",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.