Healthcare Provider Details

I. General information

NPI: 1922202183
Provider Name (Legal Business Name): BETH C BECKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH B SMITH MD

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S PARK ST
MADISON WI
53715-1507
US

IV. Provider business mailing address

7974 UW HEALTH CT
MIDDLETON WI
53562-5531
US

V. Phone/Fax

Practice location:
  • Phone: 608-417-6236
  • Fax: 608-417-6377
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number52994
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number52994
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: