MEDICARE: BEBE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0281	OTHER	NM	BLUE CROSS BLUE SHIELD
2	201051434	OTHER	NM	PRESBYTERIAN HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154494011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEBE CARE

Provider Business Mailing Address
First Line	:	4333 PAN AMERICAN FWY NE STE B
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-6833
Country	:	US
Telephone Number	:	505-266-3835
Fax Number	:	505-266-3340

Provider Business Practice Location Address
First Line	:	4333 PAN AMERICAN FWY NE STE B
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-6833
Country	:	US
Telephone Number	:	505-266-3835
Fax Number	:	505-266-3340

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DORSEY M BEGGS
Credential	:	MD
Telephone Number	:	505-250-6731

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	12/30/2024

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Directions to “BEBE CARE ” Practice Location

Language	Start Address	Practice Location

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