DR. TERRY ADAM BEAL DO
NPI 1700453453
General Practice in Fort Campbell, KY

Q: What is Terry Beal's NPI number?

The NPI number for Terry Beal is 1700453453. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is Terry Beal's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Terry Beal was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2021PECOS Enrolled

5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223(270) 798-4677 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, Aug 29, 2023, Jun 9, 2021 (3 updates tracked since 2021).

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About Dr. Terry Adam Beal Do NPPES

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

DR. TERRY ADAM BEAL DO (NPI 1700453453) is an individual general practice provider in Fort Campbell, Kentucky, licensed in Indiana (02006949A) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700453453

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. TERRY ADAM BEALCredential: DO

Location Address5979 DESERT STORM AVEFort Campbell, KY 42223-5514

Mailing Address5979 Desert Storm AveFort Campbell, KY 42223-5514 · (270) 798-4677

Phone(270) 798-4677

Sole ProprietorNo

Enumeration DateJune 9, 2021

Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration

NPPES CertifiedAugust 6, 2024

✔ NPI 1700453453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 02006949A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

5979 DESERT STORM AVE, Fort Campbell, KY 42223

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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)

Dr. Terry Adam Beal Do 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.

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