Provider Demographics
NPI:1538455332
Name:DAVID A BEARY MD APMC
Entity type:Organization
Organization Name:DAVID A BEARY MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-340-8544
Mailing Address - Street 1:2430 PARIS RD
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-5027
Mailing Address - Country:US
Mailing Address - Phone:504-340-8544
Mailing Address - Fax:504-274-1090
Practice Address - Street 1:2430 PARIS RD
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-5027
Practice Address - Country:US
Practice Address - Phone:504-340-8544
Practice Address - Fax:504-274-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.017637207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1363065Medicaid
LAB63764Medicare UPIN
LA1363065Medicaid