Provider Demographics
NPI:1730102278
Name:BECKMAN, J. CHRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:J.
Middle Name:CHRIS
Last Name:BECKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:520 HIGHLAND TERRACE
Mailing Address - Street 2:SUITE E
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130
Mailing Address - Country:US
Mailing Address - Phone:615-893-8885
Mailing Address - Fax:615-893-8142
Practice Address - Street 1:520 HIGHLAND TERRACE
Practice Address - Street 2:SUITE E
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-893-8885
Practice Address - Fax:615-893-8142
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD31143207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BB5063778OtherDEA
G86914Medicare UPIN