Lawrence Beck, MD
Individual provider Active NPI Neurology Physician · Stratford, CT
NPI 1992731889 · NPPES record last updated May 6, 2019
Key facts
- NPI
- 1992731889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 026337 (CT)
- Practice address
- 2590 Main St
Stratford, CT 06615-5838 - Phone
- (203) 377-5988
- Fax
- (203) 380-0531
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Griffin Hospital
Rehabilitation Associates Inc
Neurological Specialist PC
Practice addresses (Care Compare)
130 Division St
Derby, CT 06418-1326
Phone (203) 732-7360
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773
99 Hawley LN
Suite 1120
Stratford, CT 06614-1208
Phone 2033775988303
Hospital & facility affiliations
- Griffin Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080327000511 | CT | Practitioner - Neurology | 3971689100 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Current |
Accepting new patients | |
| Neurological Specialist, P.C. | Neurology | Current |
Accepting new patients |
| The Griffin Hospital | Current |
Accepting new patients | |
| Bridgeport Hospital | Current |
Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
130 Division St
Derby, CT 06418
Phone (203) 732-1330
111 Beach Rd
Ste 150
Fairfield, CT 06824
99 Hawley Ln
Ste 1120
Stratford, CT 06614
Phone (203) 377-4788
2590 Main St
Stratford, CT 06615
Phone (203) 375-3665
Interoperability endpoints
- lawrence.beck@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 026337 | CT | Yes |
Addresses
Primary practice location
2590 Main St
Stratford, CT 06615-5838
Mailing address
2590 Main St
Stratford, CT 06615-5838
Phone (203) 377-5988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012633725 | Medicaid | CT |
Other providers in Stratford, CT
- Balanced Behavioral Health, LLC
- Jacqueline Alexandra Balarezo
- Philip Barasch
- Kalyn Bard
- Hope R Baxter
- Andrew Bedford
- Patricia Dargis Beliveau
- Gerald Alan Belkin
- Bella Home Health Care LLC
- Jessica Andrea Bello
All providers in Stratford, CT · Neurology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2019. 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.