Provider Demographics
NPI:1932204963
Name:BECK, BRIAN CHARLES (MSED, ATC, CES)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:CHARLES
Last Name:BECK
Suffix:
Gender:M
Credentials:MSED, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:207 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15215-2132
Mailing Address - Country:US
Mailing Address - Phone:804-614-5485
Mailing Address - Fax:
Practice Address - Street 1:600 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15282-0001
Practice Address - Country:US
Practice Address - Phone:412-396-1149
Practice Address - Fax:412-396-1516
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0035602255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer