Active NPI
Benjamin Edward Beasley, M.D.
- Emergency Medicine Physician
- Rock Springs, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 22228
- Practice address
- 1200 College Dr
Rock Springs, WY 82901-5868 - Phone
- (307) 272-3892
- Fax
- (307) 578-8677
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11674 | MT | |
| Emergency Medicine Physician | 207P00000X | 22228 | WV | Primary |
| Emergency Medicine Physician | 207P00000X | 7702A | WY |
Addresses
Primary practice location
1200 College Dr
Rock Springs, WY 82901-5868
Mailing address
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913
16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270
400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11674 | MT | MD | Emergency Medicine Physician |
| 22228 | WV | MD | Emergency Medicine Physician |
| 7702A | WY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Cody Regional Health EMS | Current | Accepting new patients | |
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Mat-Su Emergency Medicine Physicians Corp | Emergency Medicine | Past | Accepting new patients |
| Quantum Plus LLC | Emergency Medicine | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St Vincent Healthcare
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
- Family Medicine Physician
- Butte, MT
- NPI 1477869600
-
dba Beartooth Billings Clinic
- Primary Care Clinic/Center
- Red Lodge, MT
- NPI 1184785099
-
dba Intermountain Health St Vincent Regional Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
-
- Land Ambulance
- Cody, WY
- NPI 1366432197
-
dba Beartooth Billings Clinic
- Medicare Defined Swing Bed Hospital Unit
- Red Lodge, MT
- NPI 1952479537
-
dba Billings - DPP (Diabetes Prevention Program)
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1003701558
-
dba Boulder Clinic - Family Medicine
- Rural Health Clinic/Center
- Boulder, MT
- NPI 1861031122
-
dba St Vincent Regional Hospital - Ortho Trauma
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1659706232
-
- Emergency Medicine Physician
- Palmer, AK
- NPI 1073548129
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Big Horn County Critical Access Hospital
- Critical Access Hospital
- Basin, WY
- NPI 1013919794
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
-
dba Intermountain Health St Vincent Regional Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- General Acute Care Hospital
- Billings, MT
- NPI 1396916276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1952450280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 N 30TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010127",
"telephone_number": "406-237-4116",
"fax_number": "406-237-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 COLLEGE DR",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015868",
"telephone_number": "307-272-3892",
"fax_number": "307-578-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "BENJAMIN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "11674",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "22228",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WY",
"license": "7702A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.