MEDICARE: DR. BRIAN P BECK DC, BS

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	111N00000X	Chiropractor	CH14362	FL

General Provider Information

NPI Number	:	1235844192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN P BECK DC, BS

Provider Business Mailing Address
First Line	:	2053 LIVE OAK BLVD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2053 LIVE OAK BLVD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8442
Country	:	US
Telephone Number	:	689-322-4133
Fax Number	:

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

Provider Enumeration Date	:	01/16/2023
Last Update Date	:	12/19/2024

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