Active NPIIndividual provider

Dr. Vivian J Bea, MD

Surgery in Brooklyn, New York

NPI Number1003127366
Practice location
506 6TH St, Brooklyn, NY 11215-3609
Fax
718-780-3154
Last updated
February 13, 2025

Vivian Jolley Bea is a Surgery based in Brooklyn, NY. Vivian Jolley Bea practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Vivian Jolley Bea is 1003127366 and holds a License No. 25MA10160900 (NJ). The current practice location address for Vivian Jolley Bea is 506 6TH St, Brooklyn, NY 11215-3609 and can be reached out via phone at 718-780-3288 and via fax at 718-780-3154.

Provider Profile Details

NPI Number
1003127366
Provider Name
Vivian Jolley Bea
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
506 6TH St, Brooklyn, NY 11215-3609
Phone Number
718-780-3288
Fax Number
718-780-3154
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Other Names
Dr. Vivian Alice Jolley, MD (Former Name)
Provider Enumeration Date
July 1, 2010
Last Update Date
February 13, 2025
Certification Date
February 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
506 6TH St
Brooklyn, NY 11215-3609
Zip
11215-3609
Phone Number
718-780-3288
Fax Number
718-780-3154
Brooklyn, NY 11215Get directions →

Provider Business Mailing Address Details

Address
506 6TH St
Brooklyn, NY 11215-3609
City
Brooklyn
State
NY
Zip
11215-3609
Phone Number
718-780-3288
Fax Number
718-780-3154

License Information

License Number (1)
25MA10160900
License State (1)
NJ
Taxonomy (1)
Surgery · 208600000X
License Number (2)
Q9291
License State (2)
TX
Taxonomy (2)
Surgery · 208600000X
License Number (3)
LL32911
License State (3)
SC
Taxonomy (3)
Surgery · 208600000X
License Number (4)
300153-01
License State (4)
NY
Taxonomy (4)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vivian J Bea, MD?

The NPI number of Dr. Vivian J Bea, MD is 1003127366. It was assigned on July 1, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Vivian J Bea, MD?

Dr. Vivian J Bea, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA10160900.

Where does Dr. Vivian J Bea, MD practice?

The practice location is 506 6TH St, Brooklyn, NY 11215-3609. The office can be reached at 718-780-3288 (phone) or 718-780-3154 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003127366 directly on the NPPES registry website.

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