Active NPI
Leslie Beadling, M.D.
- Gynecology Physician
- Jacksonville, FL
National Provider Identifier
1699985457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME 19213
- Practice address
- 8160 Summit Ridge LN
Jacksonville, FL 32256-7149 - Phone
- (904) 641-3694
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME 19213 | AL | Primary |
Addresses
Primary practice location
8160 Summit Ridge LN
Jacksonville, FL 32256-7149
Mailing address
8160 Summit Ridge LN
Jacksonville, FL 32256-7149
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 19213 | AL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699985457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8160 SUMMIT RIDGE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8160 SUMMIT RIDGE LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567149",
"telephone_number": "904-641-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLING",
"first_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AL",
"license": "ME 19213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.