Jennifer Amber Beckwith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TRL10257 Issued in ND

Practice address

515 E Broadway Ave
Bismarck, ND 58501-4407

Phone

(701) 328-9950

NPI assigned

Jun 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Amber Mosbrucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073719399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 STONEWALL DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035806",
            "telephone_number": "701-751-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014407",
            "telephone_number": "701-328-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "JENNIFER",
        "middle_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "TRL10257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOSBRUCKER",
            "middle_name": "AMBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Becker Plastic Surgery Center
• Becker Plastic Surgery LLC
• Andrea Becker
• Erica Becker, DPT
• Ricky C. Becker, M.D.
• Sierra Beechie
• Bernadette H Behm, PHARMD
• Al Behrens
• Kristen M Beierlein
• Eric Belanger, M.D.

• Family Medicine Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Family Medicine Physician in North Dakota

• 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.

Verify at the official NPI Registry.