MEDICARE: DR. EDWARD C BECK MD

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	207X00000X	Orthopaedic Surgery Physician	DR.0077039	CO
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	DR.0077039	CO

General Provider Information

NPI Number	:	1720667298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD C BECK MD

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-3932
Fax Number	:

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

Provider Enumeration Date	:	04/03/2021
Last Update Date	:	06/04/2026

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