BRIAN K BEVERLY (NPI# 1376519769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376519769 |
| Entity Type | Individual |
| Full Name | BRIAN K BEVERLY |
| Credential | MD |
| Practice Address |
900 Gordon Ave Thomasville GA 31792-6613 |
| Mailing Address |
Po Box 1059 Thomasville GA 31799-1059 |
| Practice Telephone | 2292261200 |
| Practice Fax Number | 2292264522 |
| Mailing Telephone | 2292261200 |
| Mailing Fax Number | 2292264522 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 035375 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 336160 | 01 |
| GA | RAILROAD MEDICARE | 110058407 | 01 |
| GA | PEACH STATE | 000495008A | 01 |
| GA | 000495008A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700325321 | Brian Beverly II | Counselor | 406 W Morris Ave, Hammond, LA 70403-4150 | 2017-02-15 |
| Street Address |
900 GORDON AVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119016 | Gabrielle Kronshage Dennis | Radiology | 900 Gordon Ave, Thomasville, GA 31792-6613 | 2020-06-23 |
| 1932176039 | S Mark Brewer & B Keith Beverly Md PC | Internal Medicine | 900 Gordon Ave, Thomasville, GA 31799 | 2006-03-07 |
| 1952377905 | Steven Mark Brewer | Internal Medicine | 900 Gordon Ave, Thomasville, GA 31792-6613 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1295923076 | Internal Medical Clinic of Thomasville, LLC | Internal Medicine | 411 Wilson Ave W, Thomasville, AL 36784-2015 | 2007-10-05 |
| 1083811442 | James Monroe Hunt | Internal Medicine | 235 W Jackson St, Thomasville, GA 31792-5404 | 2007-06-29 |
| 1518085695 | Clarke County Internal Medicine LLC | Internal Medicine | 411 Wilson Ave, Thomasville, AL 36784 | 2007-03-27 |
| 1689618167 | Ralph Pope Willett | Internal Medicine | 711 National Hwy Ste 100, Thomasville, NC 27360-2668 | 2006-06-15 |
| 1629025788 | Cornerstone Health Care, LLC | Internal Medicine | 711 National Hwy, Suite 500, Thomasville, NC 27360-2633 | 2006-05-27 |
| 1316916653 | Harry Anthony Alexander | Internal Medicine | 1300 Lexington Ave, Thomasville, NC 27360-3419 | 2006-03-17 |
| 1962480939 | Oscar M Blackwell IIi | Internal Medicine | 309 Pineywood Rd, Thomasville, NC 27360-3438 | 2006-01-09 |
| 1649260324 | Asif Wahid | Internal Medicine | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2005-10-25 |
| 1447246566 | Patience E Reich | Internal Medicine | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2005-09-23 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on BRIAN K BEVERLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.