Individual provider Active NPI

Jason Walter Beaman, D.O.

  • Forensic Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1720274376
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
4615 Issued in OK
Practice address
5310 E 31St St FL LL
Tulsa, OK 74135-5018
Phone
(918) 236-4000
Fax
(918) 236-4001
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4615 OK
Forensic Psychiatry Physician 2084F0202X 4615 OK Primary

Addresses

Primary practice location

5310 E 31St St FL LL
Tulsa, OK 74135-5018

Mailing address

5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701

Other identifiers 2

IdentifierTypeStateIssuer
304297YM2YOtherOKMEDICARE
200207470AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131028001227 OK Practitioner - Family Practice 2860649845 Reassigns benefits to 1 organization
I20150505002104 AR Practitioner - Psychiatry 2860649845 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Arkansas CurrentSince Feb 11, 2015 Accepting new patients
Oklahoma State University Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Oklahoma State University CurrentSince Jan 1, 2020 Accepting new patients
Oklahoma State University Current Accepting new patients
The Bridgeway, LLC CurrentSince May 29, 2015 Accepting new patients
State of Arkansas CurrentSince Feb 11, 2015 Accepting new patients
Oklahoma State University PastSince Nov 3, 2024 Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

305 S Palm St
Little Rock, AR 72205
Phone (501) 686-9000

21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500

909 Alameda St
Norman, OK 73071
Phone (405) 573-3812

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

5310 E 31st St
Ste 11
Tulsa, OK 74135
Phone (918) 561-1890

2401 Southwest Blvd
Tulsa, OK 74107

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

2448 E 81st St
Ste 2000
Tulsa, OK 74137
Phone (918) 236-4000

Dept 2563
Tulsa, OK 74182

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

5310 E 31st St
Ste Ll
Tulsa, OK 74135
Phone (918) 236-4000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1720274376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL LL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-236-4000",
            "fax_number": "918-236-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMAN",
        "first_name": "JASON",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4615",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OK",
            "license": "4615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "304297YM2Y",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200207470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.