Dr. Bert I Beverly, MD
Internal Medicine in Waterville, Maine
1174689343- Practice location
- 258 Main St, Waterville, ME 04901-4857
- Phone
- 207-873-2220
- Fax
- 207-873-2221
- Last updated
- July 9, 2007
Bert Ira Beverly is an Internal Medicine based in Waterville, ME. Bert Ira Beverly practices in Waterville, ME and has the professional credentials of MD. The NPI Number for Bert Ira Beverly is 1174689343 and holds a License No. 012762 (ME). The current practice location address for Bert Ira Beverly is 258 Main St, Waterville, ME 04901-4857 and can be reached out via phone at 207-873-2220 and via fax at 207-873-2221.
Provider Profile Details
- NPI Number
- 1174689343
- Provider Name
- Bert Ira Beverly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 258 Main St, Waterville, ME 04901-4857
- Phone Number
- 207-873-2220
- Fax Number
- 207-873-2221
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 29, 2006
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 258 Main St
Waterville, ME 04901-4857 - City
- Waterville
- State
- Maine
- Zip
- 04901-4857
- Phone Number
- 207-873-2220
- Fax Number
- 207-873-2221
Provider Business Mailing Address Details
- Address
- 258 Main St
Waterville, ME 04901-4857 - City
- Waterville
- State
- ME
- Zip
- 04901-4857
- Phone Number
- 207-873-2220
- Fax Number
- 207-873-2221
License Information
- License Number
- 012762
- License State
- ME
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Bert I Beverly, MD?
The NPI number of Dr. Bert I Beverly, MD is 1174689343. It was assigned on December 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Bert I Beverly, MD?
Dr. Bert I Beverly, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in ME under license number 012762.
Where does Dr. Bert I Beverly, MD practice?
The practice location is 258 Main St, Waterville, ME 04901-4857. The office can be reached at 207-873-2220 (phone) or 207-873-2221 (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 1174689343 directly on the NPPES registry website.