Thomas M Beazlie, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0101027653 Issued in VA

Practice address

501 Butler Farm Rd
Suite I
Hampton, VA 23666-1564

Phone

(757) 251-7469

Fax

(757) 251-7470

NPI assigned

Sep 16, 2006

Last updated

Oct 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peninsula Kidney Associates PC

  • Nephrology Physician
  • Hampton, VA
  • NPI 1750436531
  Medicare reassignment NPD
• Peninsula Vascular Center, P.C.

  • Nephrology Physician
  • Hampton, VA
  • NPI 1093070781
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1679679468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BUTLER FARM RD",
            "address_2": "SUITE I",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661564",
            "telephone_number": "757-251-7469",
            "fax_number": "757-251-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BUTLER FARM RD",
            "address_2": "SUITE I",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661564",
            "telephone_number": "757-251-7469",
            "fax_number": "757-251-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAZLIE",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101027653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5880246",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Munama Bazunga, PHARMD
• Mollie Elizabeth Beach
• Kenneth Lee Beadle, DSC, PA-C
• Destiny Beadles
• Tammy Jean Beavers, MD
• Morgan Bechtle, PA-C
• Becker Eye Care Center, LLC
• Sherri L Becker, O.D.
• Shanique Beckford
• Patricia Jeanette Beckham

• Nephrology Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.