Provider Demographics
NPI:1053426346
Name:BEAMER, MARK EDWARD (MD)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:EDWARD
Last Name:BEAMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:245 ALLEN STREET
Mailing Address - Street 2:
Mailing Address - City:BELHAVEN
Mailing Address - State:NC
Mailing Address - Zip Code:27810-1405
Mailing Address - Country:US
Mailing Address - Phone:252-944-2218
Mailing Address - Fax:252-943-2377
Practice Address - Street 1:598 W OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:BELHAVEN
Practice Address - State:NC
Practice Address - Zip Code:27810-1232
Practice Address - Country:US
Practice Address - Phone:252-943-0600
Practice Address - Fax:252-943-2377
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2021-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9400718207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8914095Medicaid
NC14095OtherBCBS
NC8914095Medicaid
NC2198250BMedicare ID - Type Unspecified