Organization Active NPI

Gordon J Bean DPM Inc

  • Podiatrist
  • Edmond, OK
National Provider Identifier
1306514807
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GORDON J BEAN DPM INC
Practice address
600 W 15TH St
Edmond, OK 73013-3617
Phone
(405) 340-9251
Fax
(405) 340-0686
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Gordon James Bean, DPM
Title
Podiatrist
Phone
(405) 794-6691

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

600 W 15TH St
Edmond, OK 73013-3617

Mailing address

3001 S Telephone Rd Ste B
Moore, OK 73160-2942
Phone (405) 794-6691

Other names 1

  • OKLAHOMA FOOT AND ANKLE ASSOCIATES PLLC EDMOND Other name

National Provider Directory

National Provider Directory
Tax ID family
Gordon J Bean DPM Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1306514807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S TELEPHONE RD STE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602942",
            "telephone_number": "405-794-6691",
            "fax_number": "405-794-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133617",
            "telephone_number": "405-340-9251",
            "fax_number": "405-340-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON J BEAN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "405-794-6691",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OKLAHOMA FOOT AND ANKLE ASSOCIATES PLLC EDMOND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.