DR. BRADLEY BEAMON M.D.
NPI 1063890416
Pediatrics - Pediatric Emergency Medicine in Greenville, SC

Q: What is Bradley Beamon's NPI number?

The NPI number for Bradley Beamon is 1063890416. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Bradley Beamon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Beamon was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2015PECOS Enrolled

701 GROVE RD FL 1, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Nov 20, 2020, Mar 1, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Bradley Beamon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY BEAMON M.D. (NPI 1063890416) is an individual pediatric emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (89495) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1063890416

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. BRADLEY BEAMONCredential: M.D.

Location Address701 GROVE RD FL 1Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-7899

Fax(864) 455-5474

Sole ProprietorNo

Enumeration DateMay 18, 2015

Last NPPES UpdateJuly 3, 20234 updates tracked since enumeration

NPPES CertifiedJuly 3, 2023

✔ NPI 1063890416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in SC · 89495

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 2018-00690 (NC)

701 GROVE RD FL 1, Greenville, SC 29605

Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 Moye BlvdGreenville, NC 27834-4300 · Phone (252) 744-2335 · Fax (252) 744-3800

Other Identifiers 4

Medicaid1063890416NC

MedicaidPENDINGSC

Other19WGGNC · Bcbs Of Nc

OtherNN2300ANC · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley Beamon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMBER GIST LANEY MD

Emergency Medicine