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NPI Code Detail

MEDICARE: JOHN D BEIERLE M.D.

MEDICARE: JOHN D BEIERLE M.D.
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
1207P00000XEmergency Medicine Physician29690KY
2207R00000XInternal Medicine Physician01042633AIN
3207P00000XEmergency Medicine Physician01042633AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316906944
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN D BEIERLE M.D.
Provider Business Mailing Address
First Line : PO BOX 1685
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42102-1685
Country : US
Telephone Number : 270-745-1467
Fax Number : 270-745-1156
Provider Business Practice Location Address
First Line : 1100 BROOKHAVEN RD
Second Line :
City : FRANKLIN
State : KY
Zip : 42134-2746
Country : US
Telephone Number : 270-598-4832
Fax Number : 270-586-0270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 11/09/2022

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