MEDICARE: JOHN ALLEN BEASLEY

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1780530246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ALLEN BEASLEY

Provider Business Mailing Address
First Line	:	1477 BEACON ST APT 20
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-4714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 HARRISON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1800
Country	:	US
Telephone Number	:	617-636-7000
Fax Number	:

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

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1699896753 — MICHAEL ROSENBLATT M.D.
Practice Location Address:

TUFTS UNIVERSITY SCHOOL OF MEDICINE , 136 HARRISON AVENUE
BOSTON, MA
02111-1800

Practice Phone: 617-636-6565
Practice Fax:

1194308338 — JULIA WATSON MD
Practice Location Address:

136 HARRISON AVE
BOSTON, MA
02111-1800

Practice Phone: 336-832-7272
Practice Fax: 336-832-8641

1255071601 — KELLY KATHLEEN BARRY MS
Practice Location Address:

136 HARRISON AVE
BOSTON, MA
02111-1800

Practice Phone: 630-670-0921
Practice Fax:

1457081374 — MOLLIE MIKULSKI
Practice Location Address:

136 HARRISON AVE
BOSTON, MA
02111-1800

Practice Phone: 617-636-7000
Practice Fax:

1538936216 — MELISSA HUBERTUS
Practice Location Address:

136 HARRISON AVE FL 5
BOSTON, MA
02111-1800

Practice Phone: 845-661-0161
Practice Fax:

Directions to “ JOHN ALLEN BEASLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.