Active NPI
Clarence Edwin Becraft Jr., M.D.
- Diagnostic Radiology Physician
- Street, MD
National Provider Identifier
1184939472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0039911
- Practice address
- 2304 Rock Hill CT
Street, MD 21154-1027 - Phone
- (410) 557-7570
- Fax
- (410) 209-5018
- NPI assigned
- Aug 11, 2010
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0039911 | MD | Primary |
Addresses
Primary practice location
2304 Rock Hill CT
Street, MD 21154-1027
Mailing address
2304 Rock Hill CT
Street, MD 21154-1027
Phone (410) 557-7570
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0039911 | MD | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1184939472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 ROCK HILL CT",
"city": "STREET",
"state": "MD",
"postal_code": "211541027",
"telephone_number": "410-557-7570",
"fax_number": "410-209-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 ROCK HILL CT",
"city": "STREET",
"state": "MD",
"postal_code": "211541027",
"telephone_number": "410-557-7570",
"fax_number": "410-209-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECRAFT",
"first_name": "CLARENCE",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0039911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Street, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.