Individual provider Active NPI

Steven M Beverly, MD

  • Obstetrics & Gynecology Physician
  • Sheridan, WY
National Provider Identifier
1700878279
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15511C Issued in WY
Practice address
1333 W 5TH St Ste 210
Sheridan, WY 82801-2700
Phone
(307) 672-2522
Fax
(307) 672-3732
NPI assigned
Aug 19, 2005
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 37011 KY
Obstetrics & Gynecology Physician 207V00000X 15121 SD
Obstetrics & Gynecology Physician 207V00000X 15511C WY Primary
Gynecology Physician 207VG0400X 37011 KY
Gynecology Physician 207VG0400X 8836143-1205 UT

Addresses

Primary practice location

1333 W 5TH St Ste 210
Sheridan, WY 82801-2700

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3240

Other practice location 1

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

Other practice location 2

4403 Harrison Blvd
Ste 4650
Ogden, UT 84403-3271
Phone (801) 475-3240

Other practice location 3

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (864) 908-3530

Other identifiers 1

IdentifierTypeStateIssuer
1700878279MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO, WY, SD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150218002152 UT Practitioner - Obstetrics/Gynecology 8527115740 Reassigns benefits to 3 organizations
I20220615003297 CO Practitioner - Obstetrics/Gynecology 8527115740 Reassigns benefits to 1 organization
I20241029004223 WY Practitioner - Obstetrics/Gynecology 8527115740 Reassigns benefits to 3 organizations
I20250220001200 SD Practitioner - Obstetrics/Gynecology 8527115740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Practice addresses (Care Compare)

1333 W 5TH St
Sheridan, WY 82801-2752
Phone (307) 672-2522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15511CWYMDObstetrics & Gynecology Physician
37011KYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casper Obstetrical and Gynecological Associates PC Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
Obhg South Dakota PC Obstetrics & Gynecology CurrentSince Jan 10, 2025 Accepting new patients
Obhg Wyoming PC Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Granger Medical Specialists LLC CurrentSince Jan 1, 2023 Accepting new patients
Questcare Obstetrics Colorado LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Questcare Obstetrics Colorado LLC CurrentSince Jun 1, 2022 Accepting new patients
Obhg Utah LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Granger Medical Specialists, LLC CurrentSince Jan 1, 2023 Accepting new patients
Ogden Clinic PC Obstetrics & Gynecology CurrentSince Jan 7, 2015 Accepting new patients
Big Horn Health Network CurrentSince Dec 1, 2024 Accepting new patients
Granger Medical Clinic PC Obstetrics & Gynecology Past Accepting new patients
Women's Clinic of Louisiana, LLC Obstetrics & Gynecology Past Accepting new patients
Wilson Counseling LLC Past Accepting new patients
Memorial Hospital of Sheridan County Past Accepting new patients

Locations

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

11925 S State St
Draper, UT 84020
Phone (801) 545-8000

4403 Harrison Blvd
Ste 4650
Ogden, UT 84403
Phone (801) 387-4400

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

995 W Levoy Dr
Taylorsville, UT 84123

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

150 N Melrose St
Casper, WY 82601
Phone (307) 234-6988

1333 W 5th St
Ste 110
Sheridan, WY 82801
Phone (307) 675-4610

1333 W 5th St
Ste 210
Sheridan, WY 82801
Phone (307) 672-2522

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1700878279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3240",
            "fax_number": "801-475-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 210",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012700",
            "telephone_number": "307-672-2522",
            "fax_number": "307-672-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021831",
            "country_code": "US",
            "telephone_number": "502-629-8000",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4403 Harrison Blvd",
            "address_2": "Ste 4650",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844033271",
            "country_code": "US",
            "telephone_number": "801-475-3240",
            "fax_number": "801-475-3241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "864-908-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "37011",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "15121",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "15511C",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "37011",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "UT",
            "license": "8836143-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700878279",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.