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
Hospital & facility affiliations 2
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
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
- Carilion New River Valley Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160203002203 | VA | Practitioner - Physician Assistant | 7719281237 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110005145 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
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
- cbrooks63368@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Katelyn Adair
- Catherine C. Akers
- Arcadia Behavioral Health, LLC
- Aspire Wellness & Chiropractic, LLC
- Richard Allen Bare
- Ester Bourne
- Gizele Bowen
- Stephanie Michelle Bowers
- Jacob Bowles
- Valeah Lynn Bradshaw
All providers in Tazewell, VA · Medical Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.