Healthcare Provider Details

I. General information

NPI: 1588568604
Provider Name (Legal Business Name): MR. DONALD G BEEDIE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DON BEEDIE

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20500 SENECA MEADOWS PKWY STE 2500
GERMANTOWN MD
20876-7000
US

IV. Provider business mailing address

5913 BARBADOS PL APT 101
ROCKVILLE MD
20852-5412
US

V. Phone/Fax

Practice location:
  • Phone: 301-540-5246
  • Fax:
Mailing address:
  • Phone: 301-672-2555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: