Charles W Beatty Jr., MA, FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

50322 Issued in TX

Practice address

1101 Pegues PL
Longview, TX 75601-4031

Phone

(903) 757-4083

Fax

(903) 757-6052

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Beatty Audiology and Hearing AIDS

  • Hearing Aid Equipment
  • Longview, TX
  • NPI 1932562048
  NPD (past) Authorized official
• Charles W Beatty Jr

  • Audiologist-Hearing Aid Fitter
  • Longview, TX
  • NPI 1639304363
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1972653020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PEGUES PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014031",
            "telephone_number": "903-757-4083",
            "fax_number": "903-757-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PEGUES PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014031",
            "telephone_number": "903-757-4083",
            "fax_number": "903-757-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, FAAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Brian Baumgarner
• Baylor Pathology
• Catrina Beard, CRNA-MSN
• Sintique Beasley, L.B.S.W.
• Beatty Audiology and Hearing AIDS
• Jeffory W Beaty, DO
• Robert Wayne Beaudoin
• Eugene Rayshawn Beaver Jr., MS, LAT, ATC, CES
• Dennis Ray Beck, M.D.
• Laccie Lea Beck, RN

• Audiologist in Longview, TX
• Providers in Longview, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.