Provider Demographics
NPI:1033104831
Name:BEIN, NORMAN N (MD, FACS, RVT)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:N
Last Name:BEIN
Suffix:
Gender:M
Credentials:MD, FACS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 82
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-0082
Mailing Address - Country:US
Mailing Address - Phone:636-346-8434
Mailing Address - Fax:
Practice Address - Street 1:305 CAMPTOWN RD
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3980
Practice Address - Country:US
Practice Address - Phone:314-323-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-18
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004025488174400000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00453425OtherRAILROAD MEDICARE
MOP00453425OtherRAILROAD MEDICARE
MOF18683Medicare UPIN