Beaver Medical Incorporated

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

7123 Issued in NV

Legal business name

BEAVER MEDICAL INCORPORATED

Practice address

5000 Smithridge Dr Ste D11
Reno, NV 89502-5654

Phone

(775) 857-2876

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

David Prothro, M.D.

Title

Coo

Phone

(775) 857-2876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1851780241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SMITHRIDGE DR STE D11",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025654",
            "telephone_number": "775-857-2876",
            "fax_number": "775-857-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SMITHRIDGE DR STE D11",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025654",
            "telephone_number": "775-857-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER MEDICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "PROTHRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "775-857-2876",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "7123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy C. Bearfield, MD, PHD
• Julie Beasley
• Nicholas Andre Beaudette, PAC
• Brittany Beaumier, APRN
• Alesia Beauregard
• Erika Beaver
• Joie Lynn Beaver
• Carolyn Beavers
• Steven Beban
• Desirae Bebber

• Cardiovascular Disease Physician in Reno, NV
• Providers in Reno, NV by specialty
• Cardiovascular Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.