Active NPI
Edward W Beal MD Chartered
- Psychiatry Physician
- Rockville, MD
National Provider Identifier
1437399649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D15560
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337881100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI 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.