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BEAVERTON MEDICAL CENTER P.C.
NPI 1649215211
Clinic/Center - Rural Health in Beaverton, MI

Active since June 18, 2006
129 W BROWN ST, BEAVERTON, MI 48612(989) 435-2937(989) 435-3121 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beaverton Medical Center P.c. NPPES

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

BEAVERTON MEDICAL CENTER P.C. (NPI 1649215211) is a healthcare organization registered as a rural health in Beaverton, Michigan and active in the NPI registry since June 2006. The organization lists William E Berner, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1649215211
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBEAVERTON MEDICAL CENTER P.C.
Location Address129 W BROWN STBeaverton, MI 48612-8119
Mailing Address1003 Woodside AveEssexville, MI 48732-1234 · (989) 892-7722 · Fax (989) 892-7455
Phone(989) 435-2937
Fax(989) 435-3121
Organization SubpartNo
Authorized OfficialWilliam E BernerClinic Administrator · (989) 892-7722
Enumeration DateJune 18, 2006
Last NPPES UpdateJuly 28, 2014
✔ NPI 1649215211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
129 W BROWN ST, Beaverton, MI 48612
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Other Identifiers 8

OtherO80B610040MI · Bcbs
Medicare UPINMI1118006MI
Other=========100MI · Community Choice
Medicare ID-Type Unspecified233944MI · Riverbend
Medicaid104176826MI
Medicare PINMI1118MI
Medicare UPINMI1118005MI
Medicare ID-Type UnspecifiedOM97300MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

FAMILY HEALTH & WELLNESS P.C.
Physician Assistant (Medical)
129 W BROWN ST
BEAVERTON, MI 48612
Gladwin County (989) 435-2937
MR. RICHARD A CALL PA-C
Physician Assistant
129 W BROWN ST
BEAVERTON, MI 48612
Gladwin County (989) 435-2937
FAMILY HEALTH & WELLNESS PC
Clinic/Center (Rural Health)
129 W BROWN ST
BEAVERTON, MI 48612
Gladwin County (989) 435-2937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaverton Medical Center P.C.'s NPI number?

The NPI number for Beaverton Medical Center P.C. is 1649215211. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Beaverton Medical Center P.C. located?

Beaverton Medical Center P.C. is located at 129 W Brown St, Beaverton, MI 48612. The listed phone number is (989) 435-2937.

What is Beaverton Medical Center P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Beaverton Medical Center P.C. was last updated on July 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.