Be Well Geriatrics, Memory, and Longevity, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

BE WELL GERIATRICS, MEMORY, AND LONGEVITY, LLC

Practice address

5800 Hidcote Dr Ste 103
Lincoln, NE 68516-5536

Phone

(402) 429-7448

Fax

(402) 429-7448

NPI assigned

Aug 13, 2026

Organization subpart

No

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

Authorized official

Name

Mark D Carlson, MD

Title

Ceo

Phone

(402) 429-7448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1285559567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HIDCOTE DR STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165536",
            "telephone_number": "402-429-7448",
            "fax_number": "402-429-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HIDCOTE DR STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165536",
            "telephone_number": "402-429-7448",
            "fax_number": "402-429-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16040 Park Valley Drive, Round",
            "address_2": "Ste. 222A",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "78681",
            "country_code": "US",
            "telephone_number": "737-295-1005",
            "fax_number": "512-888-8123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BE WELL GERIATRICS, MEMORY, AND LONGEVITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-429-7448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Bayless
• Rebecca Bayne, APRN
• Ana Maria Del Pilar Bazan
• Kari Bazan
• Tammy Renee Bazelman
• Angie Beach
• Jason Paul Beach, CRNA
• Shawn Beach
• Dominick Giovanni Beackley
• Megan C Beadle, PA-C

• Geriatric Medicine (Internal Medicine) Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Geriatric Medicine (Internal Medicine) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.