Individual provider Active NPI

Bobby Beard

  • Registered Nurse
  • Littleton, CO
National Provider Identifier
1871187088
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1662475 Issued in CO
Practice address
7700 S Broadway
Littleton, CO 80122-2602
Phone
(303) 730-8900
NPI assigned
Feb 28, 2021
Last updated
Feb 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 1662475 CO
Registered Nurse 163W00000X 1662475 CO Primary

Addresses

Primary practice location

7700 S Broadway
Littleton, CO 80122-2602

Mailing address

4581 N Blazingstar TRL
Castle Rock, CO 80109-9450
Phone (337) 278-5795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bobbybeard@centura.org Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1662475COMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1871187088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 N BLAZINGSTAR TRL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801099450",
            "telephone_number": "337-278-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 S BROADWAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222602",
            "telephone_number": "303-730-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "BOBBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CO",
            "license": "1662475",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1662475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bobbybeard@centura.org",
            "affiliation": "N",
            "endpointDescription": "Encrypted email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7700 S Broadway",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801222602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.