Individual
BERNARD D BEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 S PROVIDENCE RD, COLUMBIA, MO 65203-3624
(573) 882-2511
(573) 884-4515
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MDR5E72
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102403
HEALTHLINK
MO
01
—
1542527
UNITED HEALTHCARE
MO
01
—
2086671001
KANSAS MEDICAID
MO
01
—
6208
BLUE CHOICE
MO
Enumeration date
05/05/2006
Last updated
12/21/2007
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