Organization Active NPI

Edward W Beal MD Chartered

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1437399649
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D15560 Issued in MD
Legal business name
EDWARD W BEAL MD CHARTERED
Practice address
5908 Bloomingdale Ter
Rockville, MD 20852-5547
Phone
(301) 881-2440
Fax
(301) 881-2765
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Edward W Beal, MD
Title
President
Phone
(301) 881-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D15560 MD Primary

Addresses

Primary practice location

5908 Bloomingdale Ter
Rockville, MD 20852-5547

Mailing address

5908 Bloomingdale Ter
Rockville, MD 20852-5547

Other identifiers 1

IdentifierTypeStateIssuer
337881100MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1437399649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 BLOOMINGDALE TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 BLOOMINGDALE TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525547",
            "telephone_number": "301-881-2440",
            "fax_number": "301-881-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W BEAL MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D15560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337881100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.