Provider Demographics
NPI:1316987654
Name:BEYER, DEBORAH D (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:D
Last Name:BEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2300
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-297-2700
Practice Address - Fax:615-269-4584
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25681207R00000X
TN025681208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00153003OtherMEDICARE RR
TN5197031OtherAETNA
TN10079802OtherAMERIGROUP
TN1039015OtherFIRST HEALTH
TN3095901Medicaid
TN395888OtherUSA MANAGED CARE
TN4085168OtherBLUE CROSS OF TN
TN3095901OtherAMERICHOICE
TN4618988OtherCIGNA POS, PPO
TN4618988OtherCIGNA POS, PPO
TNP00153003OtherMEDICARE RR
TN103I119218Medicare PIN