Patrick Jude Bevenour

Primary specialty

CounselorTaxonomy code 101Y00000X

License

BH000189 Issued in PA

Practice address

1235 Pine St
Philadelphia, PA 19107-5945

Phone

(215) 735-9379

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1396495339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 VALLEY RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745603",
            "telephone_number": "215-901-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075945",
            "telephone_number": "215-735-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVENOUR",
        "first_name": "PATRICK",
        "middle_name": "JUDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "BH000189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Bevan, PA-C
• Lauren Bevan, CCC-SLP
• Patricia Bevelheimer, PT, MS
• Laura Bevelock, MD
• Kaileen Bevenour, PA-C
• Kelli Ann Beveridge, CRNP
• Beverley'S Home Health Care
• Lisa Andrea Bevilacqua, MD
• Patricia Bevlock
• Darlene Marie Bewick, CRNP

• Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.