Provider Demographics
NPI:1982792982
Name:BEGGS, JAMES NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NEIL
Last Name:BEGGS
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 1:404 WASHINGTON AVE N
Mailing Address - Street 2:201
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1132
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:404 WASHINGTON AVE N
Practice Address - Street 2:201
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1132
Practice Address - Country:US
Practice Address - Phone:541-892-3346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD14668207Q00000X
MN54667207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN54667OtherPHYSICIAN LICENSE
ORC91168OtherCHAMPUS
OR169789Medicaid
ORH1814 04OtherPACIFIC SOURCE
ORMD14668OtherSTATE LICENSE
OR169789Medicaid
ORC91168Medicare UPIN