Active NPI
Rick A Beach, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Gulf Breeze, FL
National Provider Identifier
1639397540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- ME40826
- Practice address
- 1040 Gulf Breeze Pkwy
Suite 208
Gulf Breeze, FL 32561-7809 - Phone
- (850) 473-9434
- Fax
- (850) 916-8759
- NPI assigned
- Apr 23, 2007
- Last updated
- May 6, 2008
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME40826 | FL | Primary |
Addresses
Primary practice location
1040 Gulf Breeze Pkwy
Suite 208
Gulf Breeze, FL 32561-7809
Mailing address
1040 Gulf Breeze Pkwy
Suite 208
Gulf Breeze, FL 32561-7809
Phone (850) 473-9434
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME40826 | FL | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Regional Medical Center | Past | Accepting new patients | |
| Bowling Green Inn of Pensacola, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Twelve Oaks
- Substance Abuse Rehabilitation Facility
- Navarre, FL
- NPI 1881784312
-
dba Memory Disorder Clinic
- Internal Medicine Physician
- Pensacola, FL
- NPI 1174578579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1639397540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 208",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-473-9434",
"fax_number": "850-916-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 208",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-473-9434",
"fax_number": "850-916-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "RICK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "ME40826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
- Carina Bauerdorf, RBT
- Bay Breeze Operating Investments LLC
- Baybridge Chiropractic Clinic, P.a.
- Bayou Wellness, LLC
- Gregory L Beach, FNP
- Casey Wheeler Becker, M.A., LMHC
- Behavior Changes LLC
- Behive Homes of Pensacola, LLC (Beehive Homes of Gulf Breeze)
- Grayson Evan Bell, D.D.S.
- Paul Stephen Berger, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.