Brad Bruce Beckmann, MD
Individual provider Active NPI Emergency Medicine Physician · Ft. Bragg, NC
NPI 1417166299 · NPPES record last updated Jun 17, 2025
Key facts
- NPI
- 1417166299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2011-01921 (NC)
- Practice address
- 2817 Reilly Road
Ft. Bragg, NC 28310 - Phone
- (910) 907-7000
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Georgetown University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cfvhs Ed Physicians
Practice addresses (Care Compare)
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8780
Hospital & facility affiliations
- Cape Fear Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120417000471 | NC | Practitioner - Emergency Medicine | 8123289204 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-01921 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Cfvhs Ed Physicians | Emergency Medicine | Current |
Accepting new patients |
| Cfvhs Ed Physicians | Emergency Medicine | Current | Accepting new patients |
Locations
800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2011-01921 | NC | Yes |
Addresses
Primary practice location
2817 Reilly Road
Ft. Bragg, NC 28310
Mailing address
344 Fernandez LN
Cameron, NC 28326-6080
Phone (830) 570-9387
Other practice location 1
800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000
Other practice location 2
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000
Other providers in Ft. Bragg, NC
- Andrew Ward Beach
- Michael Bean
- Yvette Beard
- Anne Marie Beaty
- Troy B Beckham
- Kyle James Beeler
- Jennifer Rae Beil
- Kimberly Ann Bell
- Michael Bell
- Richard Blake Bell
All providers in Ft. Bragg, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.