Active NPI
Vein Specialties LLC
- Surgery Physician
- Brevard, NC
National Provider Identifier
1497893655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2004025488
- Legal business name
- VEIN SPECIALTIES LLC
- Practice address
- 305 Camptown Rd Ste 200
Brevard, NC 28712-3980 - Phone
- (636) 346-8434
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norman N Bein, M.D.
- Title
- President
- Phone
- (636) 346-8434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2004025488 | MO | Primary |
Addresses
Primary practice location
305 Camptown Rd Ste 200
Brevard, NC 28712-3980
Mailing address
PO Box 82
Brevard, NC 28712-0082
Phone (636) 346-8434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG7676 | Other | MO | RAILROAD MEDICARE |
Other names 1
- Vein Specialties LLC
National Provider Directory
National Provider DirectoryLocations
11456 Olive Blvd
Ste 200
Saint Louis, MO 63141
Phone (314) 993-8233
1987 Highway a
Ste 200
Washington, MO 63090
Phone (314) 993-8233
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Creve Coeur, MO
- NPI 1639353311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1497893655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82",
"city": "BREVARD",
"state": "NC",
"postal_code": "287120082",
"telephone_number": "636-346-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 CAMPTOWN RD STE 200",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123980",
"telephone_number": "636-346-8434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN SPECIALTIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "BEIN",
"authorized_official_first_name": "NORMAN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-346-8434",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MO",
"license": "2004025488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG7676",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vein Specialties LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.