Active NPI
Robert K Beamer, DO
- Family Medicine Physician
- Largo, FL
National Provider Identifier
1497737795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0003471
- Practice address
- 8250 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1353 - Phone
- (727) 545-4444
- Fax
- (727) 545-5855
- NPI assigned
- Nov 14, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0003471 | FL | Primary |
Addresses
Primary practice location
8250 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1353
Mailing address
8250 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1353
Phone (727) 545-4444
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058442800 | Medicaid | FL | |
| AL403 | Other | FL | MEDICAID GROUP NUMBER |
| 4544358 | Other | AETNA | |
| 7787970 | Other | CIGNA | |
| 82094 | Other | FL | BCBS INDIVIDUAL NUMBER |
| 82094W | Other | FL | MEDICARE INDIVIDUAL NUMBER |
| 72062C | Other | FL | BCBS GROUP # |
| 82094 | Other | BCBS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0003471 | FL | MD | Family Medicine Physician |
| 3471 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert K Beamer DO PA | Family Medicine | Past | Accepting new patients |
| Largo Physician Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1023121589
-
- Pediatrics Physician
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- NPI 1578732889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1497737795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 BRYAN DAIRY RD",
"address_2": "SUITE 300",
"city": "LARGO",
"state": "FL",
"postal_code": "337771353",
"telephone_number": "727-545-4444",
"fax_number": "727-545-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 BRYAN DAIRY RD",
"address_2": "SUITE 300",
"city": "LARGO",
"state": "FL",
"postal_code": "337771353",
"telephone_number": "727-545-4444",
"fax_number": "727-545-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMER",
"first_name": "ROBERT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0003471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058442800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "AL403",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4544358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7787970",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL NUMBER",
"identifier": "82094",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL NUMBER",
"identifier": "82094W",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "72062C",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82094",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.