NPI 1669670360 · live from the CMS NPI Registry
Timothy Beacham, MD
Anesthesiology, Pain Medicine in Louisville, KY. National Provider Identifier 1669670360, active.
NPI record
| NPI | 1669670360 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 4201 Springhurst Blvd Ste 102, Louisville, KY 40241 |
| Practice phone | 502-352-2530 |
| Enumerated | July 5, 2007 |
| Last updated | June 15, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 20443 (MS) |
| Anesthesiology, Pain Medicine | 207LP2900X | 20443 (MS) |
| Anesthesiology, Pain Medicine primary | 207LP2900X | 49929 (KY) |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 20443 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.