Robert Brad Beasley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4761 Issued in AL

Practice address

200 E Hobbs St
Athens, AL 35611-2108

Phone

(256) 233-1400

Fax

(256) 233-1404

NPI assigned

Sep 21, 2006

Last updated

Sep 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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.

• North Alabama Center for Cosmetic and General Dentistry, P.C.

  dba Beasley Cosmetic & General Dentistry

  • General Practice Dentistry
  • Athens, AL
  • NPI 1417209008
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1407955388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HOBBS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112108",
            "telephone_number": "256-233-1400",
            "fax_number": "256-233-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HOBBS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112108",
            "telephone_number": "256-233-1400",
            "fax_number": "256-233-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "ROBERT",
        "middle_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Y Bates, MS
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• William Edward Beasley Jr., MD
• Bechert, LLC Dba Lang Chiropractic Center
• Lauren Taylor Beggs, MD
• Belinda Maples M.D., P.C.
• Benchmark Physical Therapy of Alabama, LLC

• General Practice Dentistry in Athens, AL
• Providers in Athens, AL by specialty
• General Practice Dentistry in Alabama

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