Beacom Family Chiropractic PC – Chiropractor

Key facts

NPI: 1073619136
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 2301008226 (MI)
Legal business name: BEACOM FAMILY CHIROPRACTIC PC
Practice address: 923 E Colby St
Whitehall, MI 49461-1203
Phone: (231) 893-1744
Fax: (231) 893-6637
NPI assigned: Sep 16, 2006
Organization subpart: No

Authorized official

Name: Dr. Brent Richard Beacom, DC NPI 1700982865
Title: President
Phone: (231) 893-1744

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Brent Richard Beacom, DC Chiropractor · Whitehall, MI · NPI 1700982865

Medicare reassignment Care Compare group NPD Authorized official CHIROPRACTOR · MI
Helena Maria Beacom, DC Chiropractor · Whitehall, MI · NPI 1801821301

Medicare reassignment Care Compare group NPD CHIROPRACTOR · MI

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20060104000129	MI	Part B Supplier - Clinic/Group Practice	1456373539	Receives reassigned benefits from 2 practitioners Practice locations: Whitehall, MI

National Provider Directory

Locations

923 E Colby St
Whitehall, MI 49461
Phone (231) 893-1744

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	2301008226	MI	Yes

Addresses

Primary practice location

923 E Colby St
Whitehall, MI 49461-1203

Mailing address

923 E Colby St
Whitehall, MI 49461-1203
Phone (231) 893-1744

Other identifiers

Identifier	Type	State	Issuer
950F150400	Other		BCBS

Other names

Beacom Family Chiropractic Doing business as

Other providers in Whitehall, MI

All providers in Whitehall, MI · Chiropractor in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.