Meredith Bean, MD, Inc.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

A078993 Issued in CA

Legal business name

MEREDITH BEAN, MD, INC.

Practice address

900 Hyde St
11TH Floor
San Francisco, CA 94109-4806

Phone

(415) 353-6400

Fax

(415) 353-6401

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

Meredith Bean, M.D.NPI 1225116726

Title

President

Phone

(303) 709-2216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith A. Bean, MD

  • Sports Medicine (Internal Medicine) Physician
  • Oakland, CA
  • NPI 1225116726
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1750754180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ALCATRAZ AVE",
            "address_2": "#178",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HYDE ST",
            "address_2": "11TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094806",
            "telephone_number": "415-353-6400",
            "fax_number": "415-353-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH BEAN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-709-2216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A078993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Merchant
• Tanya Merchant
• Lisa Mercury-Rea, DC
• Oblaise Mercury
• Mercy Doctors Medical Group Inc
• Maritza Juana Merejo
• Amy Merickel, AMFT
• Jennifer Elena Merino, LCSW
• Zulma Victoria Merino
• Nicole Merkle-Raymond

• Sports Medicine (Family Medicine) Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.