Michael G Beardsley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0054920 Issued in MD

Practice address

511 Jermor LN
Suite 105
Westminster, MD 21157-6151

Phone

(410) 871-1000

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carroll Health Group, LLC

  • Surgery Physician
  • Westminster, MD
  • NPI 1194512319
  NPD (past)
• Carroll Health Group, LLC

  • Plastic Surgery Physician
  • Westminster, MD
  • NPI 1942617766
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1477665008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN",
            "address_2": "SUITE 105",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576151",
            "telephone_number": "410-871-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN",
            "address_2": "SUITE 105",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576151",
            "telephone_number": "410-871-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDSLEY",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0054920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911081000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tapendu Basu, MD
• Michelle W Battista, LCSW-C
• Jennifer Cullen Baugher, M.S.
• Benjamin Baum, DDS
• Terri Louise Beard, OTD, OTR/L
• Barbara Bearzi
• Erica Bechtol, DPT
• Desha D Bedford, MD
• Sofiya Bekker, MS, OTR/L
• Dodzi Bell-Dzide, PA-C

• Pediatrics Physician in Westminster, MD
• Providers in Westminster, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.