Active NPI
Jesse Beard Orthopedics LLC
- Sports Medicine (Orthopaedic Surgery) Physician
- Farmington, MO
National Provider Identifier
1760073506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- JESSE BEARD ORTHOPEDICS LLC
- Practice address
- 606 Maple Valley Dr
Farmington, MO 63640-1976 - Phone
- (573) 756-7779
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse Beard, DO
- Title
- Owner
- Phone
- (573) 747-6575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
606 Maple Valley Dr
Farmington, MO 63640-1976
Mailing address
606 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210816000614 | MO | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 8628483591 | Practice locations: Farmington, MO |
National Provider Directory
National Provider DirectoryLocations
606 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-7779
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Farmington, MO
- NPI 1598140014
-
- Nurse Practitioner
- Farmington, MO
- NPI 1578080099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1760073506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 MAPLE VALLEY DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401976",
"telephone_number": "573-756-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 MAPLE VALLEY DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401976",
"telephone_number": "573-756-7779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSE BEARD ORTHOPEDICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "BEARD",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-747-6575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.