Healthcare Provider Details

I. General information

NPI: 1396897492
Provider Name (Legal Business Name): BEEBE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 SAVANNAH RD 32060 LONG NECK ROAD
LEWES DE
19958-1462
US

IV. Provider business mailing address

424 SAVANNAH RD
LEWES DE
19958-1462
US

V. Phone/Fax

Practice location:
  • Phone: 302-947-2500
  • Fax: 302-947-2909
Mailing address:
  • Phone: 302-947-2500
  • Fax: 302-947-2909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number800530
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number800530
License Number StateDE

VIII. Authorized Official

Name: MS. PATRICIA LYNN BRADLEY
Title or Position: CERTIFIED DIABETES EDUCATOR
Credential: RD, CDE
Phone: 302-684-0271