Healthcare Provider Details

I. General information

NPI: 1801449970
Provider Name (Legal Business Name): ROBERT E BEER M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 BALFOUR RD STE A
BRENTWOOD CA
94513-4932
US

IV. Provider business mailing address

2221 BALFOUR RD STE A
BRENTWOOD CA
94513-4932
US

V. Phone/Fax

Practice location:
  • Phone: 925-240-9116
  • Fax: 925-240-9117
Mailing address:
  • Phone: 925-240-9116
  • Fax: 925-240-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT E. BEER
Title or Position: PRESIDENT
Credential: MD
Phone: 925-240-9116