Individual
DR. VIVIAN JOLLEY BEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3288
(718) 780-3154
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3288
(718) 780-3154
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10160900
NJ
208600000X
Surgery Physician
Primary
300153-01
NY
208600000X
Surgery Physician
LL32911
SC
208600000X
Surgery Physician
Q9291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366461701
—
TX
Enumeration date
07/01/2010
Last updated
02/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us