Active NPI
Eugene Beal Jr., M.D.
- Diagnostic Radiology Physician
- Troy, MO
National Provider Identifier
1477530798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R7D33
- Practice address
- 1000 E Cherry St
Dept of Radiology
Troy, MO 63379-1513 - Phone
- (636) 528-3375
- Fax
- (636) 578-3378
- NPI assigned
- Dec 28, 2005
- Last updated
- Sep 17, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R7D33 | MO | Primary |
Addresses
Primary practice location
1000 E Cherry St
Dept of Radiology
Troy, MO 63379-1513
Mailing address
11475 Olde Cabin Rd
Suite 200
Saint Louis, MO 63141-7128
Phone (314) 991-8200
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)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiology Clinic/Center
- Troy, MO
- NPI 1982824587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1477530798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 OLDE CABIN RD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417128",
"telephone_number": "314-991-8200",
"fax_number": "314-569-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E CHERRY ST",
"address_2": "DEPT OF RADIOLOGY",
"city": "TROY",
"state": "MO",
"postal_code": "633791513",
"telephone_number": "636-528-3375",
"fax_number": "636-578-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R7D33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.