Active NPI
Bradley Gerard Beck, M.D.
- Occupational Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1164573739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 35672
- Practice address
- 12340 Herring Rd
Colorado Springs, CO 80908-4194 - Phone
- (719) 238-6672
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 35672 | CO | Primary |
Addresses
Primary practice location
12340 Herring Rd
Colorado Springs, CO 80908-4194
Mailing address
12340 Herring Rd
Colorado Springs, CO 80908-4194
Phone (719) 238-6672
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35672 | CO | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164573739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12340 HERRING RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809084194",
"telephone_number": "719-238-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12340 HERRING RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809084194",
"telephone_number": "719-238-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "BRADLEY",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CO",
"license": "35672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.