Richard L Beardsley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01029408A Issued in IN

Practice address

2030 Churchman Ave
Beech Grove, IN 46107-1044

Phone

(317) 786-9285

Fax

(317) 781-2793

NPI assigned

Nov 16, 2005

Last updated

Mar 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1295717270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 CHURCHMAN AVE",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071044",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CHURCHMAN AVE",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071044",
            "telephone_number": "317-786-9285",
            "fax_number": "317-781-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDSLEY",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01029408A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100325580A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jo Auten
• Axionpath Diagnostics LLC
• Ayurist LLC
• Abhigyan Ratan Banka, M.D.
• Nicole Gabrielle Barnes, M.S., R.D., C.D.
• Beech Grove City Schools
• Beech Grove Fire Department
• Laurence Waln Behney, M.D.
• Belis Healthcare Solution LLC
• Biovanta Diagnostics LLC

• Family Medicine Physician in Beech Grove, IN
• Providers in Beech Grove, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.