Provider Demographics
NPI:1306942297
Name:BEARD, NAHUM M (MD)
Entity type:Individual
Prefix:DR
First Name:NAHUM
Middle Name:M
Last Name:BEARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 S GERMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2205
Mailing Address - Country:US
Mailing Address - Phone:901-759-3100
Mailing Address - Fax:901-759-3196
Practice Address - Street 1:7545 AIRWAYS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-5806
Practice Address - Country:US
Practice Address - Phone:901-759-3100
Practice Address - Fax:901-759-3217
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2018-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN48835207QS0010X
MS22163207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR194835001Medicaid
TNQ016978Medicaid
MS09843030Medicaid
I36008Medicare UPIN