Blake R. Beazer, M.D., Inc
NPI 1184807992ActiveOrganization· Family Medicine· Tooele, UT
Family Medicine in Tooele, Utah, registered in NPPES in December 2007. The authorized official on file is Blake Richard Beazer, M.D., Medical Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184807992 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2007 |
| Last updated in NPPES | Jan 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 52480801205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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