Organization Active NPI

L. a. Bealer Inc

  • Primary Care Clinic/Center
  • Lebanon, MO
National Provider Identifier
1760615736
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
L. A. BEALER INC
Practice address
732 S Madison Ave
Lebanon, MO 65536-3591
Phone
(417) 532-9161
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Louis A Bealer, MD
Title
Doctor
Phone
(417) 532-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

732 S Madison Ave
Lebanon, MO 65536-3591

Mailing address

732 S Madison Ave
Lebanon, MO 65536-3591
Phone (417) 532-9161

Other identifiers 2

IdentifierTypeStateIssuer
1134224553OtherMONPI
200361608MedicaidMO

National Provider Directory

National Provider Directory

Locations

732 S Madison Ave
Lebanon, MO 65536
Phone (417) 532-9161

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1760615736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 S MADISON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363591",
            "telephone_number": "417-532-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 S MADISON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363591",
            "telephone_number": "417-532-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. A. BEALER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "BEALER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "417-532-9161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134224553",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200361608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.