Active NPI
Douglas W. Beal, MD and Associates, PC
- Pediatrics Physician
- Columbia, MO
National Provider Identifier
1164530952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Columbia, MO
- NPI 1417954660
-
- Pediatric Nurse Practitioner
- Columbia, MO
- NPI 1740601285
-
- Pediatric Nurse Practitioner
- Columbia, MO
- NPI 1447671938
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.