Organization Active NPI

William T Beasley PSC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1467506501
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00126 Issued in KY
Legal business name
WILLIAM T BEASLEY PSC
Practice address
4602 Southern Pkwy
1B
Louisville, KY 40214-1442
Phone
(502) 366-1479
Fax
(502) 366-6718
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. William T Beasley, DPM
Title
Owner
Phone
(502) 366-1479

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X 00126 KY Primary

Addresses

Primary practice location

4602 Southern Pkwy
1B
Louisville, KY 40214-1442

Mailing address

4602 Southern Pkwy
1B
Louisville, KY 40214-1442
Phone (502) 366-1479

Other identifiers 1

IdentifierTypeStateIssuer
80903685MedicaidKY

National Provider Directory

National Provider Directory

Locations

225 S Hurstbourne Pkwy
Louisville, KY 40222
Phone (502) 426-6460

4602 Southern Pkwy
Ste 1B
Louisville, KY 40214
Phone (502) 366-1479

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1467506501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 SOUTHERN PKWY",
            "address_2": "1B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141442",
            "telephone_number": "502-366-1479",
            "fax_number": "502-366-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 SOUTHERN PKWY",
            "address_2": "1B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141442",
            "telephone_number": "502-366-1479",
            "fax_number": "502-366-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T BEASLEY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-366-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "00126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80903685",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.