Organization Active NPI

Douglas W. Beal, MD and Associates, PC

  • Pediatrics Physician
  • Columbia, MO
National Provider Identifier
1164530952
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DOUGLAS W. BEAL, MD AND ASSOCIATES, PC
Practice address
2412 Forum Blvd
Suite 201
Columbia, MO 65203-6364
Phone
(573) 445-0725
Fax
(573) 445-1027
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2014

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

Authorized official

Name
Dr. Douglas Wayne Beal, M.D., M.S.H.A.NPI 1417954660
Title
President
Phone
(573) 445-0725

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2412 Forum Blvd
Suite 201
Columbia, MO 65203-6364

Mailing address

2412 Forum Blvd
Suite 201
Columbia, MO 65203-6364
Phone (573) 445-0725

National Provider Directory

National Provider Directory

Locations

2412 Forum Blvd
Ste 201
Columbia, MO 65203
Phone (573) 445-0725

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388880000000",
    "number": "1164530952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 FORUM BLVD",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036364",
            "telephone_number": "573-445-0725",
            "fax_number": "573-445-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 FORUM BLVD",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036364",
            "telephone_number": "573-445-0725",
            "fax_number": "573-445-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS W. BEAL, MD AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-01-05",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-445-0725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S.H.A."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2014; 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.