Healthcare Provider Details

I. General information

NPI: 1023081486
Provider Name (Legal Business Name): DAVID A BEARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 PARIS RD
CHALMETTE LA
70043-5027
US

IV. Provider business mailing address

2430 PARIS RD
CHALMETTE LA
70043-5027
US

V. Phone/Fax

Practice location:
  • Phone: 504-340-8544
  • Fax: 504-274-1090
Mailing address:
  • Phone: 504-340-8544
  • Fax: 504-274-1090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD017637
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: