Basic Information
| Provider Information | |||||||||
| NPI: | 1316987654 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BEYER | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 WOODMONT BLVD | ||||||||
| Address2: | SUITE LL50 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372052245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153862300 | ||||||||
| FaxNumber: | 6153862399 | ||||||||
| Practice Location | |||||||||
| Address1: | 4230 HARDING RD | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372052013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152972700 | ||||||||
| FaxNumber: | 6152694584 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2006 | ||||||||
| LastUpdateDate: | 05/12/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 25681 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 025681 | TN | N | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | P00153003 | 01 | TN | MEDICARE RR | OTHER | 5197031 | 01 | TN | AETNA | OTHER | 10079802 | 01 | TN | AMERIGROUP | OTHER | 1039015 | 01 | TN | FIRST HEALTH | OTHER | 3095901 | 05 | TN | MEDICAID | 395888 | 01 | TN | USA MANAGED CARE | OTHER | 4085168 | 01 | TN | BLUE CROSS OF TN | OTHER | 3095901 | 01 | TN | AMERICHOICE | OTHER | 4618988 | 01 | TN | CIGNA POS, PPO | OTHER |