Provider Demographics
NPI:1881691442
Name:BEEBE, JAMES KIRKLAND (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KIRKLAND
Last Name:BEEBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 SAVANNAH RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1501
Mailing Address - Country:US
Mailing Address - Phone:302-645-2281
Mailing Address - Fax:
Practice Address - Street 1:1305 SAVANNAH RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1501
Practice Address - Country:US
Practice Address - Phone:302-645-2281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0001590207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE15R098OtherBLUE CROSS BLUE SHIELD DE
DE0003OtherCAREFIRST DC BCBS
DE0084067000OtherAMERIHEALTH
DE021736879OtherRAILROAD MEDICARE
DE4247811OtherAETNA
DE60953601OtherBCBS MD CAREFIRST
DE0000102401Medicaid
DE5622925OtherCIGNA
DE825693OtherMAMSI
DEC48671Medicare UPIN
DE15R098OtherBLUE CROSS BLUE SHIELD DE
DE4247811OtherAETNA