Individual provider Active NPI

Richard James Beebe, M.D.

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1871587600
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME23436 Issued in FL
Practice address
2350 Scenic Dr
Senior Friendship Centers, Inc.
Venice, FL 34293-1510
Phone
(941) 584-0043
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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 ME23436 FL Primary

Addresses

Primary practice location

2350 Scenic Dr
Senior Friendship Centers, Inc.
Venice, FL 34293-1510

Mailing address

2350 Scenic Dr
Senior Friendship Centers, Inc.
Venice, FL 34293-1510
Phone (941) 584-0043

Other identifiers 1

IdentifierTypeStateIssuer
375263100MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23436FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1871587600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SCENIC DR",
            "address_2": "SENIOR FRIENDSHIP CENTERS, INC.",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931510",
            "telephone_number": "941-584-0043",
            "fax_number": "941-496-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SCENIC DR",
            "address_2": "SENIOR FRIENDSHIP CENTERS, INC.",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931510",
            "telephone_number": "941-584-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBE",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME23436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375263100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.