Individual
DR. DAVID BRADLEY BECKSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 NORTH 1 EAST, PRESTON, ID 83263
(208) 852-3851
(208) 852-3856
Mailing address
41 NORTH 1 EAST, PRESTON, ID 83263
(208) 852-3851
(208) 852-3856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5211
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003316
REGENCE BLUE SHIELD
ID
01
—
32287
DESERT MUTUAL BENEFIT
UT
01
—
52118
BLUE CROSS
ID
05
—
804078800
—
ID
01
—
842188
FIRST HEALTH
—
01
—
870566919004
TRICARE
—
Enumeration date
08/17/2006
Last updated
06/10/2025
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