Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164889390 Individual Practitioner Male Practitioner

Gregory Beacham

Massage Therapist • Clinton, MD

Professional Overview & Biography Verified Profile Summary

Gregory Beacham is a registered healthcare professional specializing in Massage Therapist in Clinton, MD. Practice services are available at 7700 OLD BRANCH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7700 Old Branch Ave

Clinton, MD 207351628

Telephone 2026490506
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Clinton, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Clinton, MD (688 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License MD M04919

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License DC MT1474

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
NPI 1013389121

National Certified Counselor, LGPC

Dr. Joseph Caruso , MD

Family Medicine - Adult Medicine

NPI 1063476869

Doctor of Medicine (M.D.)

Dr. Suman Vardan , MD

Internal Medicine

NPI 1083678197

Doctor of Medicine (M.D.)

Dr. Richard Kaufman , DDS

Dentist - General Practice

NPI 1124058748

Doctor of Dental Surgery

NPI 1144377490

Doctor of Osteopathic Medicine (D.O.)

NPI 1164485199

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2016

Registered at 7700 OLD BRANCH AVE, CLINTON, MD 207351628 (Tel: 2026490506)

📍
Updated Business Mailing Address January 19, 2016

Registered at 8201 SONAR RD, CLINTON, MD 207352962 (Tel: 2026490506)

👤
Provider Name / Credentials Updated January 19, 2016

Recorded as GREGORY BEACHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2016

Massage Therapist (License #M04919 in MD)

🟢
Initial NPI Registration & Enumeration January 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164889390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2016
Last Update: January 19, 2016
Sole Proprietor: No

Mailing Address

8201 Sonar Rd

Clinton, MD 207352962

Phone: 2026490506

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.