NPIMap

Individual provider Active NPI

David Bradley Beckstead, MD

  • Family Medicine Physician
  • Preston, ID
National Provider Identifier
1801909122
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5211 Issued in ID
Practice address
41 North 1 East
Preston, ID 83263
Phone
(208) 852-3851
Fax
(208) 852-3856
NPI assigned
Aug 17, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5211 ID Primary

Addresses

Primary practice location

41 North 1 East
Preston, ID 83263

Mailing address

41 North 1 East
Preston, ID 83263
Phone (208) 852-3851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000599 ID Practitioner - Family Practice 8123160405 Reassigns benefits to 2 organizations
Practice locations: Preston, ID

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41 N 1
Preston, ID 83263-1325
Phone (208) 852-3851

41 N 1St
Preston, ID 83263-1325

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions85
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5211IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Medical Center CurrentSince Mar 22, 2014 Accepting new patients
Franklin County Medical Center Family Medicine CurrentSince Mar 22, 2014 Accepting new patients

Locations

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

Interoperability endpoints

  • Direct secure messaging: david.beckstead.1@17373.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1801909122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NORTH 1 EAST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "83263",
            "telephone_number": "208-852-3851",
            "fax_number": "208-852-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NORTH 1 EAST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "83263",
            "telephone_number": "208-852-3851",
            "fax_number": "208-852-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKSTEAD",
        "first_name": "DAVID",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M5211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, ID

Sources for this page

Verify at the official NPI Registry.