Organization Active NPI

Beebe Physicians Network, Inc

Doing business as Beebe Indian River Wellness Beebe Medical Group

  • Student Health Clinic/Center
  • Dagsboro, DE
National Provider Identifier
1174879456
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
BEEBE PHYSICIANS NETWORK, INC
Doing business as
Beebe Indian River Wellness Beebe Medical Group
Beebe Indian River Wellness Center
Practice address
29772 Armory Rd
Dagsboro, DE 19939-4354
Phone
(302) 732-3680
Fax
(833) 437-1403
NPI assigned
Jul 24, 2012
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BEEBE PHYSICIAN NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Vicky Card, CREDENTIALING
Title
Office Manager
Phone
(302) 645-3499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X DE Primary

Addresses

Primary practice location

29772 Armory Rd
Dagsboro, DE 19939-4354

Mailing address

1515 Savannah Rd Ste 200
Lewes, DE 19958-1675
Phone (302) 645-3499

Other identifiers 1

IdentifierTypeStateIssuer
250808023MedicaidDE

Other names 2

  • Beebe Indian River Wellness Beebe Medical Group Doing business as
  • Beebe Indian River Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beebe Physician Network Inc6 organizations share this tax ID, including this one
Part of
Beebe Physician Network Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29772 Armory Rd
Dagsboro, DE 19939
Phone (302) 436-1000

33663 Bayview Medical Dr
#1
Lewes, DE 19958
Phone (302) 644-0714

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1174879456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD STE 200",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29772 ARMORY RD",
            "city": "DAGSBORO",
            "state": "DE",
            "postal_code": "199394354",
            "telephone_number": "302-732-3680",
            "fax_number": "833-437-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEBE PHYSICIANS NETWORK, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEEBE PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2012-07-24",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "CARD",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-645-3499",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250808023",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beebe Indian River Wellness Beebe Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beebe Indian River Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dagsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.