Active NPI
Robert Estep Beverly Jr.
- Independent Duty Corpsman
- Virginia Beach, VA
National Provider Identifier
1972710168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 2016 Adobe CT
Virginia Beach, VA 23456-4924 - Phone
- (757) 227-3149
- NPI assigned
- May 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
2016 Adobe CT
Virginia Beach, VA 23456-4924
Mailing address
Uss Barry DDG 52
Medical Department
Fpo, AE 09565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710I1002X | Other | VA | INDEPENDENT DUTY CORPSMAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208649600000",
"number": "1972710168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "USS BARRY DDG 52",
"address_2": "MEDICAL DEPARTMENT",
"city": "FPO",
"state": "AE",
"postal_code": "09565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 ADOBE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234564924",
"telephone_number": "757-227-3149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERLY",
"first_name": "ROBERT",
"middle_name": "ESTEP",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2008-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT DUTY CORPSMAN",
"identifier": "1710I1002X",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.