Provider Demographics
NPI:1043221013
Name:BEEKMAN, JAMES FREDERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FREDERIC
Last Name:BEEKMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2835 HORSE PEN CREEK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9700
Mailing Address - Country:US
Mailing Address - Phone:336-617-6568
Mailing Address - Fax:336-617-6660
Practice Address - Street 1:2835 HORSE PEN CREEK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9700
Practice Address - Country:US
Practice Address - Phone:336-617-6568
Practice Address - Fax:336-617-6660
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC128318207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC52138BMedicare UPIN