Active NPIIndividual provider

Dr. Jennifer K Beall, MD

Internal Medicine in South Portland, Maine

NPI Number1578667200
Practice location
100 Brickhill Avenue, South Portland, ME 04106
Fax
207-536-2442
Last updated
August 3, 2023

Jennifer K Beall is an Internal Medicine based in South Portland, ME. Jennifer K Beall practices in South Portland, ME and has the professional credentials of MD. The NPI Number for Jennifer K Beall is 1578667200 and holds a License No. MD19626 (ME). The current practice location address for Jennifer K Beall is 100 Brickhill Avenue, South Portland, ME 04106 and can be reached out via phone at 207-407-5027 and via fax at 207-536-2442.

Provider Profile Details

NPI Number
1578667200
Provider Name
Jennifer K Beall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Brickhill Avenue, South Portland, ME 04106
Phone Number
207-407-5027
Fax Number
207-536-2442
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2006
Last Update Date
August 3, 2023
Certification Date
August 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Brickhill Avenue
South Portland, ME 04106
State
Maine
Zip
04106
Phone Number
207-407-5027
Fax Number
207-536-2442
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
80 Old Field Road
Yarmouth, ME 04096
City
Yarmouth
State
ME
Zip
04096
Phone Number
207-407-5027

License Information

License Number (1)
MD19626
License State (1)
ME
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
036-102371
License State (2)
IL
Taxonomy (2)
Internal Medicine · 207R00000X

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. Jennifer K Beall, MD?

The NPI number of Dr. Jennifer K Beall, MD is 1578667200. It was assigned on September 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer K Beall, MD?

Dr. Jennifer K Beall, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in ME under license number MD19626.

Where does Dr. Jennifer K Beall, MD practice?

The practice location is 100 Brickhill Avenue, South Portland, ME 04106. The office can be reached at 207-407-5027 (phone) or 207-536-2442 (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 1578667200 directly on the NPPES registry website.

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