Brian Beals, MD
Individual provider Active NPI Pediatrics Physician · Gorham, NH
NPI 1104828979 · NPPES record last updated Sep 15, 2017
Key facts
- NPI
- 1104828979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 9177 (NH)
- Practice address
- 2 Broadway Ave
Gorham, NH 03581-1502 - Phone
- (603) 466-2741
- Fax
- (603) 466-2953
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coos County Family Health Services Inc
Practice addresses (Care Compare)
2 Broadway Ave
Gorham, NH 03581-1502
Phone (603) 466-2741
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091023000120 | NH | Practitioner - Pediatric Medicine | 1052458023 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9177 | NH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Androscoggin Valley Hospital, Inc. | Current |
Accepting new patients | |
| Androscoggin Valley Hospital Inc | Current |
Accepting new patients | |
| Coos County Family Health Services, Inc | Current |
Accepting new patients | |
| Coos County Family Health Services, Inc | Current |
Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Pediatrics | Current |
Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Coos County Family Health Services, Inc | Pediatrics | Past | Accepting new patients |
| Coos County Family Health Services, Inc. | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827
133 Pleasant St
Berlin, NH 03570
Phone (603) 752-2040
2 Broadway Ave
Gorham, NH 03581
Phone (603) 466-2741
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9177 | NH | Yes |
Addresses
Primary practice location
2 Broadway Ave
Gorham, NH 03581-1502
Mailing address
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RE7915 | Other | MEDICARE NUMBER | |
| 784908 | Other | NH | MVP HEALTHCARE |
| 0109720YPNH02 | Other | NH | ANTHEM BC/BS |
| 30007014 | Medicaid | NH | |
| 5756404001 | Other | NH | CIGNA HEALTHCARE |
| 5830418 | Other | AETNA GROUP | |
| 3072544 | Medicaid | NH | |
| 9177 | Other | NH | STATE LICENSE # |
Other providers in Gorham, NH
- Gregory Alnwick
- Wendy Beals
- Madeleine Bedard-Ryan
- Cayla Leigh Benjamin
- Alison Bernier
- Brady Allen Binette
All providers in Gorham, NH · Pediatrics Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2017. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.