Provider Demographics
NPI:1356630958
Name:BEYL, RANDALL NARVIN JR (MD)
Entity type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:NARVIN
Last Name:BEYL
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:RANDY
Other - Middle Name:NARVIN
Other - Last Name:BEYL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-6505
Mailing Address - Fax:
Practice Address - Street 1:7777 HENNESSY BLVD STE 501A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-765-6505
Practice Address - Fax:225-765-1223
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.205610207R00000X
390200000X
LA205610207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program