Dr. Vivian Jolley Bea, M.D.
Surgery in Brooklyn, NY. Individual provider (NPI-1).
NPI number1003127366
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1003127366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vivian Jolley Bea
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2010
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OTHER (PHYSICIAN)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 300153-01 | NY | Yes |
| 208600000X | Surgery | 25MA10160900 | NJ | |
| 208600000X | Surgery | Q9291 | TX | |
| 208600000X | Surgery | LL32911 | SC |
Other names
- Vivian Alice Jolley (Former Name)
Practice location
506 6th StBrooklyn, NY 11215-3609
Phone 718-780-3288 · Fax 718-780-3154
Mailing address
506 6th StBrooklyn, NY 11215-3609
Phone 718-780-3288 · Fax 718-780-3154
Other practice locations
2 Cooper Plz
Camden, NJ 08103-1461
Camden, NJ 08103-1461
Phone 855-632-2667
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 255 Surgery Physician providers in Brooklyn · All 80,721 providers in Brooklyn
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