Active NPI
Kyle James Beeler, DO
- Military Health Care Provider
- Fort Bragg, NC
National Provider Identifier
1437790771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310-4138 - Phone
- (910) 907-6036
- NPI assigned
- Oct 7, 2019
- Last updated
- Apr 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Military Health Care Provider | 171000000X | NC | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-4138
Mailing address
7 Carmel Vly
Coto de Caza, CA 92679-4739
Phone (949) 609-9935
Other practice location 1
1111 Baker St
Costa Mesa, CA 92626-4138
Phone (855) 295-3276
Other practice location 2
7 Carmel Vly
Coto DE Caza, CA 92679-4739
Phone (949) 609-9935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1437790771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CARMEL VLY",
"city": "COTO DE CAZA",
"state": "CA",
"postal_code": "926794739",
"telephone_number": "949-609-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283104138",
"telephone_number": "910-907-6036"
}
],
"practiceLocations": [
{
"address_1": "1111 Baker St",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926264138",
"country_code": "US",
"telephone_number": "855-295-3276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Carmel Vly",
"address_purpose": "LOCATION",
"city": "Coto DE Caza",
"state": "CA",
"postal_code": "926794739",
"country_code": "US",
"telephone_number": "949-609-9935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEELER",
"first_name": "KYLE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-07",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.