Provider Demographics
NPI:1508814237
Name:BEAN, FRANCIS J (DPM)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:J
Last Name:BEAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 HADLEY RD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-1794
Mailing Address - Country:US
Mailing Address - Phone:317-834-5777
Mailing Address - Fax:317-834-5776
Practice Address - Street 1:1001 HADLEY RD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1794
Practice Address - Country:US
Practice Address - Phone:317-834-5777
Practice Address - Fax:317-834-5776
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000527213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN364492369OtherTAX ID
IN000000243446OtherANTHEM
IN100186880AMedicaid
IN100186880Medicaid
IN480034745Medicare PIN
IN100186880Medicaid
IN000000243446OtherANTHEM
IN364492369OtherTAX ID
IN197150Medicare PIN