Individual provider Active NPI

Warren Edward Bevard, DPM

  • Podiatrist
  • Frederick, MD
National Provider Identifier
1760579031
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01248 Issued in MD
Practice address
604 Solarex CT
Suite 103
Frederick, MD 21703-8678
Phone
(301) 698-9260
Fax
(301) 698-8962
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00327 WV
Podiatrist 213E00000X 01248 MD Primary
Podiatrist 213E00000X SC003667L PA

Addresses

Primary practice location

604 Solarex CT
Suite 103
Frederick, MD 21703-8678

Mailing address

604 Solarex CT
Suite 103
Frederick, MD 21703-8678
Phone (301) 698-9260

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
01248MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Care of Frederick, Inc Podiatrist Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Integrated Health & Wellness Center PC PastSince Sep 25, 2010 Accepting new patients

Organizations & group practices 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1760579031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038678",
            "telephone_number": "301-698-9260",
            "fax_number": "301-698-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038678",
            "telephone_number": "301-698-9260",
            "fax_number": "301-698-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVARD",
        "first_name": "WARREN",
        "middle_name": "EDWARD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "00327",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01248",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003667L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.