Provider Demographics
NPI: | 1316953839 |
---|---|
Name: | BEIER, KARL MARTIN (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | KARL |
Middle Name: | MARTIN |
Last Name: | BEIER |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 541 SUNSET LN |
Mailing Address - Street 2: | SUITE 302 |
Mailing Address - City: | CULPEPER |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22701-3979 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 540-825-8550 |
Mailing Address - Fax: | 540-825-8275 |
Practice Address - Street 1: | 541 SUNSET LN |
Practice Address - Street 2: | SUITE 302 |
Practice Address - City: | CULPEPER |
Practice Address - State: | VA |
Practice Address - Zip Code: | 22701-3979 |
Practice Address - Country: | US |
Practice Address - Phone: | 540-825-8550 |
Practice Address - Fax: | 540-825-8275 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-08-01 |
Last Update Date: | 2014-06-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VA | 0101033835 | 207V00000X, 202K00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 202K00000X | Allopathic & Osteopathic Physicians | Phlebology | |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
VA | 006212786 | Medicaid | |
VA | 006212786 | Medicaid | |
VA | VVC163D143 | Medicare PIN | |
VA | 160001770 | Medicare PIN |