Brian J Beach, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

00254 Issued in KY

Practice address

106 S Main St
Dry Ridge, KY 41035-9406

Phone

(859) 824-1444

NPI assigned

Jun 27, 2005

Reactivated

Mar 31, 2006

Last updated

Jul 30, 2008By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grant County Foot Specialist

  • Podiatrist
  • Dry Ridge, KY
  • NPI 1366698680
  NPD (past) Authorized official

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1396741096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359406",
            "telephone_number": "859-824-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410359406",
            "telephone_number": "859-824-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-07-30",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KY",
            "license": "00254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002546",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Akers, OTR/L
• Amanda Howell DC PLLC (Williamstown Chiropractic Center)
• Americare Chiropractic, LLC
• Troy Kenneth Ashcraft, DO
• Allen Richard Bastecki, D.C.
• Friend Bechtel, DMD
• Xiaomin Amy Benson
• Cassandra Best, RBT
• Jennifer Meek Blair, DMD
• Blue Crescent-Blue Star Medical of Kentucky, Inc

• Foot Surgery Podiatrist in Dry Ridge, KY
• Providers in Dry Ridge, KY by specialty
• Foot Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.