Individual provider Active NPI

Duane Gary Beard, MD

  • Gynecology Physician
  • Salem, OR
National Provider Identifier
1114921103
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD06705 Issued in OR
Practice address
700 Bellevue St SE
#245
Salem, OR 97301-3891
Phone
(503) 371-0606
Fax
(503) 371-0604
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD06705 OR Primary

Addresses

Primary practice location

700 Bellevue St SE
#245
Salem, OR 97301-3891

Mailing address

700 Bellevue St SE
#245
Salem, OR 97301-3891
Phone (503) 371-0606

Other identifiers 1

IdentifierTypeStateIssuer
010561MedicaidOR

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

LicenseStateTypeSpecialty
MD06705ORMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Kahan MD PC Past Accepting new patients
Salem Brain & Spine, LLC PastSince Nov 20, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1114921103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "address_2": "#245",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013891",
            "telephone_number": "503-371-0606",
            "fax_number": "503-371-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "address_2": "#245",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013891",
            "telephone_number": "503-371-0606",
            "fax_number": "503-371-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "DUANE",
        "middle_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD06705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010561",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.