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THEODORE BEVAN MD
NPI 1700325024
Internal Medicine in Iwakuni, YAMAGUCHI

Active since February 20, 2017PECOS Enrolled
1 CHOME MISUMIMACHI, IWAKUNI, YAMAGUCHI 74000(082) 794-8000 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, May 3, 2023, Feb 20, 2017 (3 updates tracked since 2017).

About Theodore Bevan Md NPPES

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

THEODORE BEVAN MD (NPI 1700325024) is an individual internal medicine provider in Iwakuni, YAMAGUCHI, licensed in Virginia (0101265452) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700325024
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHEODORE BEVANCredential: MD
Location Address1 CHOME MISUMIMACHIIwakuni, YAMAGUCHI 74000
Mailing AddressPsc 475 Box 1Fpo, AP 96350-1200
Phone(082) 794-8000
Sole ProprietorNo
Enumeration DateFebruary 20, 2017
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1700325024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101265452
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 CHOME MISUMIMACHI, Iwakuni, YAMAGUCHI 74000
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Bevan Md 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 4

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

HANYUAN LIU
General Practice
1 CHOME MISUMIMACHI
IWAKUNI, YAMAGUCHI 74000
(827) 948-0000
GISELLE DY VERMILYEA DPT
Physical Therapist
1 CHOME MISUMIMACHI
IWAKUNI, YAMAGUCHI 74000
(082) 794-8332
ALEXANDRA MAURO MD
Pediatrics
1 CHOME MISUMIMACHI
IWAKUNI, YAMAGUCHI 74000
(315) 255-8000
MICHAEL NATHANIEL GAONA
Family Medicine
1 CHOME MISUMIMACHI
IWAKUNI, YAMAGUCHI 74000
(080) 255-8000

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 Theodore Bevan's NPI number?

The NPI number for Theodore Bevan is 1700325024. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Theodore Bevan located?

Theodore Bevan practices at 1 Chome Misumimachi, Iwakuni, YAMAGUCHI 74000. The listed phone number is (082) 794-8000.

What is Theodore Bevan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Bevan enrolled in Medicare?

Yes. Theodore Bevan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Bevan was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.