William Thomas Beasley, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

126 Issued in KY

Practice address

4602 Southern Pkwy
Louisville, KY 40214-1442

Phone

(502) 366-1479

Fax

(502) 366-6718

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allied Urology, P.S.C.

  • Urology Physician
  • Louisville, KY
  • NPI 1619035409
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1336140482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141442",
            "telephone_number": "502-366-1479",
            "fax_number": "502-366-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141442",
            "telephone_number": "502-366-1479",
            "fax_number": "502-366-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "126",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000339A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1054679",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100075860",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90125568",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001266",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ieisha Beasley
• Katrina Beasley, PHD
• Michael D Beasley Jr., PA-C
• Sarah Elizabeth Beasley
• Tiffany Maria Beasley, LDO
• Andrea Zawacki Beaton, MD
• Sean Thomas Beattie, DO
• Brittany Anderson Beaty, DPT
• Jo Elaine Beaty, CRNA
• Barbara T Beauchamp, PSY.D.

• All providers in Louisville, KY
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.