Gregory David Bean, M.S., ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000656 Issued in NY

Practice address

4041 Southwestern Blvd
Orchard Park, NY 14127-2100

Phone

(716) 270-2865

Fax

(716) 270-2827

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1649635905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272100",
            "telephone_number": "716-270-2865",
            "fax_number": "716-270-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272100",
            "telephone_number": "716-270-2865",
            "fax_number": "716-270-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "GREGORY",
        "middle_name": "DAVID",
        "credential": "M.S., ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Batorski, PA
• Nancy Marie Bauer-Yox, OT
• Louis R Baumann, M.D.
• Jessica Baun
• Tom R Beall-Schwab, MSW
• Tabitha Beasley, LMT
• Eun Mi Beattie, MD
• Jacob Becher, PA-C
• Kaitlyn Becht, PA
• Erika Elizabeth Bedford, LMSW

• Athletic Trainer in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.