Individual provider Active NPI

Michael R Beard, MD

  • Family Medicine Physician
  • Benton, AR
National Provider Identifier
1316949167
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-8107 Issued in AR
Practice address
507 W Commerce Dr
Suite 201
Benton, AR 72022-7512
Phone
(501) 847-0082
Fax
(501) 847-6680
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C-8107 AR Primary

Addresses

Primary practice location

507 W Commerce Dr
Suite 201
Benton, AR 72022-7512

Mailing address

507 W Commerce Dr
Suite 201
Benton, AR 72022-7512
Phone (501) 847-0082

Other identifiers 4

IdentifierTypeStateIssuer
150920000OtherQUALCHOICE OF ARKANSAS
01-20179OtherARUNITED HEALTHCARE
080181031OtherRAILROAD MEDICARE
125673001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041206001168 AR Practitioner - Family Practice 3779549225 Reassigns benefits to 1 organization
I20240516003257 WV Practitioner - Family Practice 3779549225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

177 Middletown Rd
Suite 1
Fairmont, WV 26554-8254
Phone (681) 342-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince May 1, 2020 Accepting new patients
United Physicians Care Inc Family Medicine CurrentSince Apr 11, 2024 Accepting new patients
United Physicians Care Inc Family Medicine CurrentSince Apr 11, 2024 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince May 1, 2020 Accepting new patients

Locations

819 W Carpenter St
Benton, AR 72015
Phone (501) 663-6262

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

177 Middletown Rd
Ste 1
White Hall, WV 26554
Phone (304) 363-6600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1316949167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W COMMERCE DR",
            "address_2": "SUITE 201",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720227512",
            "telephone_number": "501-847-0082",
            "fax_number": "501-847-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W COMMERCE DR",
            "address_2": "SUITE 201",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720227512",
            "telephone_number": "501-847-0082",
            "fax_number": "501-847-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-8107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE OF ARKANSAS",
            "identifier": "150920000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-20179",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080181031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125673001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.