Individual
JESSE A BEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N CAPITOL AVE, NP E-140, INDIANAPOLIS, IN 46202-1218
(317) 962-2894
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070717A
IN
207R00000X
Internal Medicine Physician
2009014207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000771302
ANTHEM PTAN
IN
05
—
201078150
—
IN
Enumeration date
06/19/2009
Last updated
03/03/2025
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