Bevin Carpenter

Key facts

NPI

1891154738

Entity type

Individual (NPI type 1)

Primary specialty

Contractor 171W00000X

Practice address

3405 Sweetwater Rd Apt 224
Lawrenceville, GA 30044-2449

Phone

(404) 514-5511

NPI assigned

Feb 21, 2016

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2016.

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1891154738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 SWEETWATER RD APT 224",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442449",
            "telephone_number": "404-514-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SWEETWATER RD APT 224",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442449",
            "telephone_number": "404-514-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "BEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

• Matthew Carmichael, M.D.
• Alan K Carnes, MD
• Devonne Angelic Carney, LPC, ED.S
• Carolyn Minor LCSW, Inc
• Jason Caron, NP-C
• Timothy Norman Carrega, NP
• Malynda Ann Carruth, PT, DPT
• Holly Carson, PT
• Chasity J Carswell, DNP, FNP-C, PMHNP-BC
• Aja Carter, ATC

All providers in Lawrenceville, GA · Contractor in Georgia