Courtney Brooks Beckner, PA-C

Individual provider Active NPI Medical Physician Assistant · Tazewell, VA

NPI 1912371683 · NPPES record last updated Jan 9, 2024

Key facts

NPI
1912371683
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
0110005145 (VA)
Practice address
513 Orange St
Tazewell, VA 24651-9616
Phone
(276) 979-5947
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Medical Center (956 clinicians)

Practice addresses (Care Compare)

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

2331 Franklin Rd SW
Roanoke, VA 24014-1111
Phone (540) 224-5170

Hospital & facility affiliations

  • Carilion Medical Center Hospital · Roanoke, VA · CCN 490024
  • Carilion New River Valley Medical Center Hospital · Christiansburg, VA · CCN 490042

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160203002203 VA Practitioner - Physician Assistant 7719281237 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110005145VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center Current
since Nov 28, 2015
Accepting new patients
Carilion Medical Center Current
since Nov 28, 2015
Accepting new patients
Carilion Giles Community Hospital Current
since Aug 1, 2020
Accepting new patients
Carilion Giles Community Hospital Current
since Aug 1, 2020
Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

1107B Brookdale St
Martinsville, VA 24112
Phone (276) 634-4400

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

Interoperability endpoints

  • Direct secure messaging: cbrooks63368@direct.carilionclinic.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110005145 VA Yes

Addresses

Primary practice location

513 Orange St
Tazewell, VA 24651-9616

Mailing address

513 Orange St
Tazewell, VA 24651-9616
Phone (276) 979-5947

Other names

  • Ms. Courtney Paige Brooks Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2024.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1912371683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 ORANGE ST",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246519616",
            "telephone_number": "276-979-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 ORANGE ST",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246519616",
            "telephone_number": "276-979-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKNER",
        "first_name": "COURTNEY",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BROOKS",
            "middle_name": "PAIGE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tazewell, VA

All providers in Tazewell, VA · Medical Physician Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.