BRIAN BEALS (NPI# 1104828979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104828979 |
| Entity Type | Individual |
| Full Name | BRIAN BEALS |
| Credential | MD |
| Practice Address |
2 Broadway Ave Gorham NH 03581-1502 |
| Mailing Address |
133 Pleasant St Berlin NH 03570-2006 |
| Practice Telephone | 6034662741 |
| Practice Fax Number | 6034662953 |
| Mailing Telephone | 6037522040 |
| Mailing Fax Number | 6037521709 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2017-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9177 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30007014 | 05 | |
| NH | ANTHEM BC/BS | 0109720YPNH02 | 01 |
| NH | 3072544 | 05 | |
| NH | MVP HEALTHCARE | 784908 | 01 |
| NH | CIGNA HEALTHCARE | 5756404001 | 01 |
| AETNA GROUP | 5830418 | 01 | |
| NH | STATE LICENSE # | 9177 | 01 |
| MEDICARE NUMBER | RE7915 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649468448 | Brian Beals | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2418 | 2007-10-05 |
| Street Address |
2 BROADWAY AVE |
| City | GORHAM |
| State | NH |
| Zip Code | 03581-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392096 | Madeleine Bedard-ryan | Podiatrist | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-10 |
| 1124473608 | Ahmad Bin Rashid | Podiatrist | 2 Broadway Ave, Gorham, NH 03581-1502 | 2016-05-03 |
| 1760613152 | Grazyna Galicka-piskorska | Internal Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2009-08-03 |
| 1891709093 | William Jay Gessner | Family Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2006-07-27 |
| 1083665715 | Alice Mclane | Nurse Practitioner | 2 Broadway Ave, Gorham, NH 03581-1502 | 2006-05-15 |
| 1730166174 | Kimberly Gallant | Physician Assistant | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-12-28 |
| 1740272517 | Donald Kernan | Emergency Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-18 |
| 1275535999 | Coos County Family Health Services, Inc | Family Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-12 |
| 1538161450 | John Mcdowell | Emergency Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-11 |
| 1487656351 | Thomas Temme | Family Medicine | 2 Broadway Ave, Gorham, NH 03581-1502 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932456530 | Amy Lynn Galipeau | Hearing Instrument Specialist | 20 Glen Rd, Gorham, NH 03581 | 2012-08-14 |
| 1003070855 | Derek C Eastman | Physical Therapist | 38 Alpine Street, Gorham, NH 03581 | 2008-07-10 |
| 1003097668 | Todd Butler | Speech-Language Pathologist | 6 Howland Avenue, Gorham, NH 03581 | 2007-11-23 |
| 1235354978 | Nancy Gordon | Physical Therapist | 25 Mt. Carter Road, Gorham, NH 03581 | 2007-04-16 |
| 1740282136 | Sherrill Tracy | Family Medicine | 2 Broadway Street, Gorham, NH 03581 | 2005-08-15 |
| 1073040234 | Maryanne Eileen Christiansen | Physician Assistant | 2 Broadway Street, Gorham, NH 03581 | 2017-05-18 |
| 1720157225 | Town of Gorham | Ambulance | 347 Main St, Gorham, NH 03581 | 2006-11-07 |
| 1114288255 | Susan Martlock-j&s Care Enterprise | In Home Supportive Care | 2 1st St, Gorham, NH 03581-1007 | 2012-06-05 |
| 1003030552 | Jessica Cunningham | Specialist | 10 Madison Ave, Gorham, NH 03581-1107 | 2007-04-13 |
| 1568974996 | Kyle Matthew Boisselle | Specialist/Technologist | 18 Jewel St, Gorham, NH 03581-1211 | 2017-10-25 |
| Find all providers in zip 03581 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528153830 | Brian Youth | Pediatrics | 347 Main St., Gorham, ME 04038 | 2006-10-03 |
| 1962418244 | Thomas G Brewster | Pediatrics | 347 Main St Ste C, Gorham, ME 04038-1338 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942588033 | Serafin Craig Anderson | Pediatrics | 32 Orchard View Dr, Wilton, NH 03086-5733 | 2011-07-25 |
| 1699954529 | Hala S Tabbah | Pediatrics | 125 South Main Street, Franklin, NH 03235-1508 | 2007-10-27 |
| 1376738096 | Ammonoosuc Community Health Services, Inc | Pediatrics | 40 Railroad St, Woodsville, NH 03785-1118 | 2007-09-06 |
| 1508056391 | Santa C Ngo | Pediatrics | 21 Riverside Dr, Dover, NH 03820-4654 | 2007-07-27 |
| 1174603849 | Derry Pediatrics | Pediatrics | 43 B Birch Street, Derry, NH 03038 | 2006-10-17 |
| 1538255138 | Jane Liechty Glidden | Pediatrics | 116 Spit Brook Rd., Nashua, NH 03062-4216 | 2006-10-04 |
| 1851483986 | Ann C Bracken | Pediatrics | 7 Rope Ferry Rd, Dartmouth College Health Service, Hanover, NH 03755-1404 | 2006-09-28 |
| 1194822437 | Sumana Myneni | Pediatrics | Neonatology- Pediatric Hospitalist, 8 Prospect Street, Nicu, Nashua, NH 03060 | 2006-09-20 |
| 1740296961 | Mark David Weinreb | Pediatrics | 446 Central St, Franklin, NH 03235-1777 | 2006-07-31 |
| 1265450936 | Jan Mcgonagle | Pediatrics | One Verney Drive, Cmrc, Greenfield, NH 03431-1719 | 2006-07-18 |
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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.