Provider Demographics
NPI:1992792576
Name:TURNER-WINBUSH, BEVERLY (MD)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:
Last Name:TURNER-WINBUSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BEVERLY
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 504556
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-0001
Mailing Address - Country:US
Mailing Address - Phone:615-297-6006
Mailing Address - Fax:615-298-6778
Practice Address - Street 1:4230 HARDING RD
Practice Address - Street 2:STE. 530 HEART INSTITUTE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205
Practice Address - Country:US
Practice Address - Phone:615-297-6006
Practice Address - Fax:615-298-6778
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36203207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4161241OtherBLUE CROSS BLUE SHIELD
TN38947431Medicaid
TN7810846OtherAETNA
TNI07999Medicare UPIN
TN38947431Medicare PIN