Bryant Richard Beehler, D.O.,F.P.,NMM-OMM
Individual provider Active NPI Family Medicine Physician · Andover, MN
NPI 1235166992 · NPPES record last updated May 28, 2010
Key facts
- NPI
- 1235166992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27285 (MN)
- Practice address
- 14133 Orchid St NW
Andover, MN 55304-3283 - Phone
- (763) 421-6546
- Fax
- (763) 421-6546
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27285 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians' Diagnostics & Rehabilitation,LTD | Past |
Accepting new patients | |
| Bryant R. Beehler, D.O., LTD. | Family Medicine | Past |
Accepting new patients |
| Interventional Spine and Pain Physicians, PA | Past |
Accepting new patients | |
| Now Medical, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 27285 | MN | |
| Family Medicine Physician | 207Q00000X | 27285 | MN | Yes |
Addresses
Primary practice location
14133 Orchid St NW
Andover, MN 55304-3283
Mailing address
14133 Orchid St NW
Andover, MN 55304-3283
Phone (763) 421-6546
Other providers in Andover, MN
- Amber Bauer
- Katherine Anne Bauerly
- Jessica Bauman
- Danielle Baumgartner
- Sarah L Becker Anderson
- Hailey Jean Bell
- Scott M Benson II
- Daphne Paige Berg
- Sara Berg
- Suzanne Berg
All providers in Andover, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.