Active NPI
Eric A Beard, P.T.
- Physical Therapist
- Fairmont, WV
National Provider Identifier
1295739761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001561
- Practice address
- 1900 Locust Ave
Suite a
Fairmont, WV 26554-1239 - Phone
- (304) 225-5222
- Fax
- (304) 333-5224
- NPI assigned
- Jun 11, 2005
- Last updated
- Sep 10, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001561 | WV | Primary |
Addresses
Primary practice location
1900 Locust Ave
Suite a
Fairmont, WV 26554-1239
Mailing address
150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-3908
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245634 | Other | WV | CARELINK |
| 7304088-000 | Medicaid | WV | |
| 9335681 | Other | WV | GROUP |
| 5578154 | Other | WV | CIGNA |
| 7157346 | Other | WV | AETNA |
| 9335682 | Other | WV | GROUP |
| 9335684 | Other | WV | GROUP |
| 550763083002 | Other | WV | BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001561 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1295739761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MEMORIAL DR",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265371141",
"telephone_number": "304-329-3908",
"fax_number": "304-329-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 LOCUST AVE",
"address_2": "SUITE A",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541239",
"telephone_number": "304-225-5222",
"fax_number": "304-333-5224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "ERIC",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-11",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "001561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "245634",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7304088-000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "9335681",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5578154",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7157346",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "9335682",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "9335684",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "550763083002",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.