Active NPI
Morris Wilson Beebe III, M.D.
- Gastroenterology Physician
- Corbin, KY
National Provider Identifier
1508935966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 22810
- Practice address
- 95 Bryan Blvd
Suite 202
Corbin, KY 40701-2788 - Phone
- (606) 523-3021
- Fax
- (606) 523-3040
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 22810 | KY | Primary |
Addresses
Primary practice location
95 Bryan Blvd
Suite 202
Corbin, KY 40701-2788
Mailing address
PO Box 1325
Corbin, KY 40702-1325
Phone (606) 526-8131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64228109 | Medicaid | KY | |
| P01427464 | Other | KY | RR MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1508935966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1325",
"city": "CORBIN",
"state": "KY",
"postal_code": "407021325",
"telephone_number": "606-526-8131",
"fax_number": "606-528-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 BRYAN BLVD",
"address_2": "SUITE 202",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012788",
"telephone_number": "606-523-3021",
"fax_number": "606-523-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "MORRIS",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "22810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64228109",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01427464",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.