Robert C Beckerman, MD

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

2006034478 Issued in MO

Practice address

13621 Perdido Key Dr Unit W403
Pensacola, FL 32507-7488

Phone

(504) 669-1376

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Administrators of the Tulane Education Fund

  • Anatomic Pathology & Clinical Pathology Physician
  • New Orleans, LA
  • NPI 1790354595
  NPD (past)
• Administrators of the Tulane Educational Fund

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  NPD (past)
• The Regional Health System of Acadiana, LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1053368753
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255398368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13621 PERDIDO KEY DR UNIT W403",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325077488",
            "telephone_number": "504-669-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13621 PERDIDO KEY DR UNIT W403",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325077488",
            "telephone_number": "504-669-1376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Gillham Rd",
            "address_2": "Pulmonology Section",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-243-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKERMAN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "LA",
            "license": "04523R",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "KS",
            "license": "04-32236",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "MO",
            "license": "2006034478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255398368",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1195081",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beauty Sleep Anesthesia Services, LLC
• Dana Bebber, CRNP
• Laura Bechard, DPT
• Laura Marie Beck, LMT.,M.M.P.,W.S.I.
• Mikel Nichole Beck, ARNP
• Dayna Lee Beddick, BCBA
• Kelly Bednarz, M.S. LMFT
• Anthony Vincent Beer, NP-C
• Before, Beyond & Now: Professional Counseling
• Kerrie Shaw Begley, PA-C

• Pediatric Pulmonology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Pediatric Pulmonology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.