Individual
DR. SAMUEL W BEENKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5510 HIGHWAY 280, SUITE 215, BIRMINGHAM, AL 35242-6582
(205) 624-4325
(205) 620-6776
Mailing address
176 BONNIEVILLE DR, CALERA, AL 35040-3606
(205) 478-7575
(855) 450-0848
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15438
AL
208VP0000X
Pain Medicine Physician
Primary
PM.552
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082627
BLUE CROSS
AL
05
—
000082627
—
AL
01
—
020016114
RAILROAD MEDICARE
AL
01
—
E50317
VIVA
AL
Enumeration date
06/16/2006
Last updated
01/29/2018
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