Active NPI
Mary Laura Bean, MD
- Family Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14633
- Practice address
- 632 Morrison Springs Rd
Suite 202
Chattanooga, TN 37415-3416 - Phone
- (423) 778-3329
- Fax
- (423) 778-3551
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14633 | TN | Primary |
Addresses
Primary practice location
632 Morrison Springs Rd
Suite 202
Chattanooga, TN 37415-3416
Mailing address
PO Box 6067
Chattanooga, TN 37401-6067
Phone (423) 778-5445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14633 | TN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DX Mso, PLLC | Current | Accepting new patients | |
| Advanced Practice Alliance | Family Medicine | Current | Accepting new patients |
| Your Good Health, LLC | Current | Accepting new patients | |
| Memorial Health Care System Inc. | Past | Accepting new patients | |
| Crossroads Urgent Care PLLC | Family Medicine | Past | Accepting new patients |
| Jemison O. Bowers, MD | Past | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Family Medicine | Past | Accepting new patients |
| Internal Medicine Education Foundation Inc | Past | Accepting new patients |
Locations
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104
170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426
1508 Tombras Ave
East Ridge, TN 37412
Phone (423) 867-4969
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72916
Organizations & group practices 8
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.
-
- Family Medicine Physician
- East Ridge, TN
- NPI 1336950807
-
dba Urgent Team
- Rural Health Clinic/Center
- South Pittsburg, TN
- NPI 1427781129
Family Medicine
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1952393670
-
- Ophthalmology Physician
- Chattanooga, TN
- NPI 1649395369
-
dba Memorial Hospital
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316975303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6067",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374016067",
"telephone_number": "423-778-5445",
"fax_number": "423-778-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 MORRISON SPRINGS RD",
"address_2": "SUITE 202",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374153416",
"telephone_number": "423-778-3329",
"fax_number": "423-778-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "MARY",
"middle_name": "LAURA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "14633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.