Provider Demographics
NPI:1528025038
Name:BEEMAN, DAVID L (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:BEEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 MOBERLY LN
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3748
Mailing Address - Country:US
Mailing Address - Phone:479-273-1550
Mailing Address - Fax:479-273-3330
Practice Address - Street 1:2900 MOBERLY LN
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3748
Practice Address - Country:US
Practice Address - Phone:479-273-1550
Practice Address - Fax:479-273-3330
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE1356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR134136001Medicaid
AR5K597Medicare ID - Type Unspecified
ARG57663Medicare UPIN