Robert John Beckman, D.O.
Individual provider Active NPI Pediatrics Physician · Sault Sainte Marie, MI
NPI 1295885457 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1295885457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 5101013162 (MI)
- Practice address
- 509 Osborn Blvd
Suite 320
Sault Sainte Marie, MI 49783-2069 - Phone
- (906) 253-2605
- Fax
- (906) 253-2773
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Sault | Past | Accepting new patients | |
| Mymichigan Medical Center Sault | Past | Accepting new patients |
Interoperability endpoints
- rbeckman143488@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101013162 | MI | Yes |
Addresses
Primary practice location
509 Osborn Blvd
Suite 320
Sault Sainte Marie, MI 49783-2069
Mailing address
509 Osborn Blvd
Suite 320
Sault Sainte Marie, MI 49783-2069
Phone (906) 253-2605
Other providers in Sault Sainte Marie, MI
- Bay Mills Indian Community
- Souad Bazzi
- Joe Beccario
- Emily Elizabeth Beck
- Gail Becker
- Carla A Behling
- Bradley Benslow
- Madonna Barrette Benson
- Netausha Bergsma
- Pamela K Bernhardt
All providers in Sault Sainte Marie, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.