Individual
DR. DEREK A. BEENFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
6570 S MCCARRAN BLVD, RENO, NV 89509-6112
(775) 982-8256
(775) 982-8251
Mailing address
1155 MILL ST # M-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15170
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12662999
CAQH
—
05
—
1780973891
—
NV
Enumeration date
03/30/2011
Last updated
02/10/2026
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