Healthcare Provider Details

I. General information

NPI: 1922346071
Provider Name (Legal Business Name): CATHERINE ELIZABETH BECKHAM PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 SAINT VINCENTS DR STE 100
BIRMINGHAM AL
35205-1638
US

IV. Provider business mailing address

805 SAINT VINCENTS DR STE 100
BIRMINGHAM AL
35205-1638
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-3699
  • Fax: 205-484-2585
Mailing address:
  • Phone: 205-939-3699
  • Fax: 205-484-2585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-872
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA-872
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: