Dr. Howard Alan Beadner, M.D.

Dermatology in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1962595199

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1962595199
Entity type: Individual (NPI-1)
Name: Dr. Howard Alan Beadner
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Oct 2, 2006
Last updated: Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
Medicare opt-out: Feb 15, 2016 to Feb 15, 2028
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
207N00000X	Dermatology	4301035366	MI	Yes

Practice location

2124 Woodcliff Ave. Se
Grand Rapids, MI 49546-5711

Phone 616-240-7922

Mailing address

2124 Woodcliff Ave. Se
Grand Rapids, MI 49546-5711

Phone 616-240-7922

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.

Other Dermatology Physician providers in Grand Rapids, MI

All 30 Dermatology Physician providers in Grand Rapids · All 20,987 providers in Grand Rapids

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