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NPI Code Detail

MEDICARE: JORDAN SCOTT BEAN DPM

MEDICARE: JORDAN SCOTT BEAN DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist0000888CO
2213ES0103XFoot & Ankle Surgery PodiatristSC006906PA

General Provider Information

NPI Number : 1881180719
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN SCOTT BEAN DPM
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line : ATTN: JORDAN S BEAN, DPM
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-7000
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2018
Last Update Date : 01/22/2026

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