Healthcare Provider Details

I. General information

NPI: 1710240528
Provider Name (Legal Business Name): BRANDON ROBERT CURTIS BECKMAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 N GOLIAD ST
ROCKWALL TX
75087-2726
US

IV. Provider business mailing address

406 N GOLIAD ST
ROCKWALL TX
75087-2726
US

V. Phone/Fax

Practice location:
  • Phone: 972-346-1885
  • Fax: 309-454-2250
Mailing address:
  • Phone: 972-346-1885
  • Fax: 903-454-2250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberQ3461
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberQ3641
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: