Active NPI
Allen N Beardsley, M.D.
- Ophthalmology Physician
- Havre, MT
National Provider Identifier
1366414823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4316
- Practice address
- 115 4TH Ave W
Havre, MT 59501-3456 - Phone
- (406) 265-9636
- Fax
- (406) 265-1651
- NPI assigned
- Feb 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4316 | MT | Primary |
Addresses
Primary practice location
115 4TH Ave W
Havre, MT 59501-3456
Mailing address
PO Box 1231
Havre, MT 59501-1231
Phone (406) 262-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104499 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4316 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366414823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1231",
"city": "HAVRE",
"state": "MT",
"postal_code": "595011231",
"telephone_number": "406-262-1305",
"fax_number": "406-265-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 4TH AVE W",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013456",
"telephone_number": "406-265-9636",
"fax_number": "406-265-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARDSLEY",
"first_name": "ALLEN",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "4316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104499",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Havre, MT
- Area X Agency on Aging
- Ascend Behavioral Health Services
- Kyle Austin, PHARM.D.
- Molly Barrett, RPA
- Bear Paw Recovery Center (Bear Paw Recovery Center PLLC)
- Stephen L. Bechdolt, M.D.
- Anita Bekker, APRN
- Benefis Healthcare Practitioners, PC (Bpa Havre)
- Benefis Sletten Hi-Line Cancer Center, LLC
- Jesse J Bergren, LAC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.