Sidney B Beck, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301028918 Issued in MI

Practice address

28625 Northwestern Hwy
Ste 1507
Southfield, MI 48034-1828

Phone

(248) 254-7866

Fax

(248) 504-5566

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1477543874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28625 NORTHWESTERN HWY",
            "address_2": "STE 1507",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341828",
            "telephone_number": "248-254-7866",
            "fax_number": "248-504-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28625 NORTHWESTERN HWY",
            "address_2": "STE 1507",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341828",
            "telephone_number": "248-254-7866",
            "fax_number": "248-504-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "SIDNEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301028918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MICHIGAN",
            "identifier": "040E061920",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203527",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101203527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaumont Medical Transportation Services, Inc
• Sarah Elizabeth Beauregard
• Jacalyn R Beavers
• Stephanie Beavis
• Bryson Beck
• Brandi Becker-Wright
• Cristie Becker, MD
• Becoming Counseling Services LLC
• Bedside Assistant Care
• Bedside Manners Home Care

• Otolaryngology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.