Mark S Becker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MN27801 Issued in MN

Practice address

1520 Whitney Court
Ste 200, Mid MN Family Practice
Saint Cloud, MN 56303-1867

Phone

(320) 240-3157

Fax

(320) 240-3164

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Department of Health & Human Services PHS IHS

  • Critical Access Hospital
  • Cass Lake, MN
  • NPI 1194754382

  TX

  Medicare reassignment NPD
• St. Cloud Hospital

  • Clinic/Center
  • St Cloud, MN
  • NPI 1770532426
  NPD

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1124095609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 WHITNEY COURT",
            "address_2": "STE 200, MID MN FAMILY PRACTICE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031867",
            "telephone_number": "320-240-3157",
            "fax_number": "320-240-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 WHITNEY COURT",
            "address_2": "STE 200, MID MN FAMILY PRACTICE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031867",
            "telephone_number": "320-240-3157",
            "fax_number": "320-240-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "MN27801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981268700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Robert Beck
• Ashley Ann-Christen Becker, LPCC
• Karen Becker, LICSW
• Kirsten Becker, PT
• Lisa Ann Becker, LADC
• Sally Ann Becker, PA-C
• Siri Elice Becker
• Pamela Beckering, LPCC
• Lindsey Beckman
• Nathan Beckman, PHARMD

• Family Medicine Physician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.