Active NPI
Joseph A Beardsley, M.D.
- Specialist
- Greenwood, IN
National Provider Identifier
1235246737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01031707A
- Practice address
- 1777 W Stones Crossing Rd
Ste 1
Greenwood, IN 46143-7899 - Phone
- (317) 346-5480
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01031707A | IN | Primary |
Addresses
Primary practice location
1777 W Stones Crossing Rd
Ste 1
Greenwood, IN 46143-7899
Mailing address
1777 W Stones Crossing Rd
Ste 1
Greenwood, IN 46143-7899
Phone (317) 346-5480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239532 | Other | IN | ANTHEM |
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 |
|---|---|---|---|
| 01031707A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1235246737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 W STONES CROSSING RD",
"address_2": "STE 1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437899",
"telephone_number": "317-346-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 W STONES CROSSING RD",
"address_2": "STE 1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437899",
"telephone_number": "317-346-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARDSLEY",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01031707A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "239532",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.