Healthcare Provider Details

I. General information

NPI: 1972518447
Provider Name (Legal Business Name): FRANCIS J. BEAN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 HADLEY RD
MOORESVILLE IN
46158-1794
US

IV. Provider business mailing address

1001 HADLEY RD
MOORESVILLE IN
46158-1794
US

V. Phone/Fax

Practice location:
  • Phone: 317-834-5777
  • Fax: 317-834-5776
Mailing address:
  • Phone: 317-834-5777
  • Fax: 317-834-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number07000527A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000527
License Number StateIN

VIII. Authorized Official

Name: DR. FRANCIS J. BEAN
Title or Position: PRESIDENT
Credential: DPM
Phone: 317-834-5777