MEDICARE: DR. JAMES NEIL BEGGS M.D.

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
1	207Q00000X	Family Medicine Physician	MD14668	OR
2	207Q00000X	Family Medicine Physician	54667	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54667	OTHER	MN	PHYSICIAN LICENSE
2	C91168	OTHER	OR	CHAMPUS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	H1814 04	OTHER	OR	PACIFIC SOURCE
5	MD14668	OTHER	OR	STATE LICENSE

General Provider Information

NPI Number	:	1982792982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES NEIL BEGGS M.D.

Provider Business Mailing Address
First Line	:	404 WASHINGTON AVE N
Second Line	:	201
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-1132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 WASHINGTON AVE N
Second Line	:	201
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-1132
Country	:	US
Telephone Number	:	541-892-3346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	02/26/2013

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