DR. BRENT RICHARD BEACOM (NPI# 1700982865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700982865 |
Entity Type | Individual |
Full Name | DR. BRENT RICHARD BEACOM |
Credential | DC |
Practice Address |
923 Colby Rd Whitehall MI 49461 |
Practice Telephone | 2318931744 |
Practice Fax Number | 2318936637 |
Mailing Telephone | 2318931744 |
Mailing Fax Number | 2318936637 |
Enumeration Date | 2006-09-16 |
Last Update Date | 2019-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301008226 | MI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS | 950F150400 | 01 |
Street Address |
923 COLBY RD |
City | WHITEHALL |
State | MI |
Zip Code | 49461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
1760592539 | Preston Teval Bown | Dentist | 504 E Colby St, Whitchall, MI 49461 | 2006-08-30 |
1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
1821037268 | Matthew Allen Tripp | Physician Assistant | 905 E Colby St, Whitehall, MI 49461 | 2006-06-04 |
1104817980 | Joseph Gerard Kerschen | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
1194716878 | Elizabeth A Tree-levasseur | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
1689665440 | Thomas Marion Graff | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
Find all providers in zip 49461 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407334592 | Nathan Leroy Elliott | Chiropractor | 923 E. Colby Rd, Whitehall, MI 49461-1203 | 2018-08-01 |
1457574063 | Thomas J Macko | Chiropractor | 3251 Seventh St, Whitehall, PA 18052 | 2007-04-11 |
1215079140 | Whitehall Chiropractic PC | Chiropractor | 511 W Legion Ave, Whitehall, MT 59759-0547 | 2007-02-14 |
1659479087 | Thomas Alexander Greening | Chiropractor | 881 3rd St, Suite C-1, Whitehall, PA 18052-5900 | 2006-09-20 |
1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
1083649255 | Rossmore Denman Lyon | Chiropractor | 1618 Schadt Ave, Whitehall, PA 18052-3702 | 2006-07-12 |
1447292107 | Sara Ann Pank | Chiropractor | 36321 Main St, Whitehall, WI 54773-9186 | 2006-06-10 |
1679529325 | Stephen Martin Rendek IIi | Chiropractor | 3894 E Broad St, Whitehall, OH 43213-1140 | 2006-05-25 |
1851373146 | Randy D Brown | Chiropractor | 1020 S Mears Ave, Whitehall, MI 49461-1729 | 2005-11-14 |
1942446125 | Pank Chiropractic, Inc. | Chiropractor | 36321 Main St, Whitehall, WI 54773-9186 | 2008-12-18 |
Find all providers in WHITEHALL |
Please comment or provide details below to improve the information on DR. BRENT RICHARD BEACOM.
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.