Allen N Beardsley, M.D.
Individual provider Active NPI Ophthalmology Physician · Havre, MT
NPI 1366414823 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366414823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 4316 (MT)
- Practice address
- 115 4TH Ave W
Havre, MT 59501-3456 - Phone
- (406) 265-9636
- Fax
- (406) 265-1651
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4316 | MT | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104499 | Medicaid | MT |
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All providers in Havre, MT · Ophthalmology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.