Individual
CLARENCE HENRY BEAVERS
Active
Individual
CLARENCE HENRY BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
39543
NC
207Q00000X
Family Medicine Physician
39543
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871595082
—
NC
01
—
2154554D
MEDICARE PTAN
NC
01
—
P00935587
RAILROAD MEDICARE
NC
Enumeration date
06/01/2005
Last updated
08/10/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up