Provider Demographics
NPI:1942205406
Name:BEAN, JAMES RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICHARD
Last Name:BEAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 NICHOLASVILLE RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1471
Mailing Address - Country:US
Mailing Address - Phone:859-277-6143
Mailing Address - Fax:859-277-8659
Practice Address - Street 1:1760 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1471
Practice Address - Country:US
Practice Address - Phone:859-277-6143
Practice Address - Fax:859-277-8659
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2013-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY17799207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64177991Medicaid
KYK023851Medicare PIN
KYC64627Medicare UPIN