MEDICARE: DR. ROBERT BEERS D.O.

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	207Q00000X	Family Medicine Physician	2019024466	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5135019	OTHER	MO	BCBS
2	2019024466	OTHER	MO	MO LICENSE

General Provider Information

NPI Number	:	1174817951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BEERS D.O.

Provider Business Mailing Address
First Line	:	PO BOX 219658
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64121-9658
Country	:	US
Telephone Number	:	816-407-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 N CHURCH RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64158-1104
Country	:	US
Telephone Number	:	816-407-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2011
Last Update Date	:	10/03/2019

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Directions to “ DR. ROBERT BEERS D.O.” Practice Location

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