NPI 1477540938 · live from the CMS NPI Registry
Constance Beckom, MD
Family Medicine, Geriatric Medicine in Ranson, WV. National Provider Identifier 1477540938, active.
NPI record
| NPI | 1477540938 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Geriatric Medicine 207QG0300X |
| Practice location | 203 E 4th Ave, Ranson, WV 25438 |
| Practice phone | 304-725-6343 |
| Enumerated | September 30, 2005 |
| Last updated | January 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 14590 (NV) |
| Family Medicine, Geriatric Medicine primary | 207QG0300X | 26847 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.