Healthcare Provider Details

I. General information

NPI: 1104599034
Provider Name (Legal Business Name): BEVEL HEALTH MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GRANT ST STE 2900
PITTSBURGH PA
15219-2502
US

IV. Provider business mailing address

500 GRANT ST STE 2900
PITTSBURGH PA
15219-2502
US

V. Phone/Fax

Practice location:
  • Phone: 855-409-8855
  • Fax: 412-784-6657
Mailing address:
  • Phone: 855-409-8855
  • Fax: 412-784-6657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RASHID WILLIAMS
Title or Position: MANAGER
Credential:
Phone: 412-569-4300