Individual
DR. BRUCE EDMUND BEACHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0019901
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010246
EHP
MD
01
—
134242486
CIGNA
MD
01
—
1720260110
GROUP NPI NUMBER
MD
01
—
3204645
AETNA
MD
01
—
37044
COVENTRY
MD
01
—
4067476
AETNA
MD
01
—
G847
CARE FIRST BLUE CHOICE
MD
01
—
KEI3BR
CARE FIRST BCBS
MD
01
—
P00012132
RAILROAD MEDICARE
MD
Enumeration date
11/10/2005
Last updated
09/09/2008
Update your record
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