BRENT ALAN BEAIRD (NPI# 1003854738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003854738 |
| Entity Type | Individual |
| Full Name | BRENT ALAN BEAIRD |
| Credential | MD |
| Practice Address |
1061 Dowdy Rd Suite 100 Athens GA 30606-5700 |
| Practice Telephone | 7066217575 |
| Practice Fax Number | 7066217557 |
| Mailing Telephone | 7066217575 |
| Mailing Fax Number | 7066217557 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2010-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 45720 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 046540 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1061 DOWDY RD SUITE 100 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104350 | Lawrence Michael Bruner Jr. | Nurse Practitioner | 1061 Dowdy Rd, Athens, GA 30606 | 2018-05-12 |
| 1639683790 | Scott Harpold | Nurse Practitioner | 1061 Dowdy Rd, Athens, GA 30606-5700 | 2017-11-28 |
| 1770942732 | Jesse Smith | Nurse Practitioner | 1061 Dowdy Rd, Suite 101, Athens, GA 30606-5700 | 2016-02-18 |
| 1295105492 | Pusparani Panda | Nurse Practitioner | 1061 Dowdy Rd, Suite 101, Athens, GA 30606-5700 | 2015-09-30 |
| 1902288939 | Kellie Casey | Nurse Practitioner | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2015-06-25 |
| 1407238405 | Epps Bridge Pediatrics, LLC | Pediatrics | 1061 Dowdy Rd, 202, Athens, GA 30606-5700 | 2015-06-25 |
| 1982093902 | Donna Jean Mathis | Physician Assistant | 1061 Dowdy Rd, Suite 100, Athens, GA 30606-5700 | 2015-01-14 |
| 1245655281 | Audiology Rehabilitation Services | Hearing Aid Equipment | 1061 Dowdy Rd, Suite 204, Athens, GA 30606-5700 | 2014-02-27 |
| 1568705135 | Malini Kancharla Reddy | Internal Medicine | 1061 Dowdy Rd, Ste 100, Athens, GA 30606 | 2013-04-02 |
| 1629331707 | Blair Leigh White | Physician Assistant | 1061 Dowdy Rd, Suite 100 and 101, Athens, GA 30606-5700 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1497371496 | Summit Medical Group, Pllc | Family Medicine | 1031 W Madison Ave Ste 1, Athens, TN 37303-3496 | 2020-06-25 |
| 1821558305 | Physician Management Services of Georgia II, LLC | Family Medicine | 1010 Prince Ave Ste 183, Athens, GA 30606-5805 | 2019-03-21 |
| 1649777152 | Ohio University | Family Medicine | 1 Ohio University Fl 5, Athens, OH 45701-2942 | 2018-04-11 |
| 1508392267 | Boulevard Family Practice | Family Medicine | 1010 Prince Ave Ste 184, Athens, GA 30606-5815 | 2017-05-02 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1538580121 | Oconee Weight and Wellness, LLC | Family Medicine | 455 Epps Bridge Pkwy Ste 102, Athens, GA 30606-3347 | 2013-12-27 |
| 1306110150 | Charles Russell Fisher | Family Medicine | 86 Columbus Cir Ste 203, Athens, OH 45701-1371 | 2012-02-25 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.