Individual
BRENT W BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16659 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 688-6000
(816) 631-1885
Mailing address
PO BOX 740019, ATLANTA, GA 30374-0019
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18452
OK
207R00000X
Internal Medicine Physician
Primary
2023008158
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0426982
KS
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2000163858
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401810
UNITED HEALTHCARE
MO
01
—
186249
COVENTRY
MO
01
—
200189777
HUMANA
MO
01
—
27634041
BLUE CROSS BLUE SHIELD
MO
01
—
5612302005
CIGNA
MO
01
—
5682498
AETNA
MO
Enumeration date
05/03/2006
Last updated
03/08/2023
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