Luthur Beazley, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101031968 Issued in VA

Practice address

1802 Braeburn Dr
Salem, VA 24153-7357

Phone

(540) 772-3580

Fax

(540) 725-5012

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1841299575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3580",
            "fax_number": "540-725-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3580",
            "fax_number": "540-725-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAZLEY",
        "first_name": "LUTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101031968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006716130",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Drewry Baynton, MSN
• Alan Beach, PH.D., LCSW, LMFT
• Cooper Wall Beierle, FNP-C
• Belmont Dialysis LLC (Glenvar Dialysis)
• Lindsay Marie Belue, PHARMD
• Bending Reed Counseling, LLC
• Nathaniel D Bennett, PAC

• Pediatrics Physician in Salem, VA
• Providers in Salem, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.