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Active NPI 1407844087 Individual Practitioner Male Practitioner

Kenneth Lee Beadle , DSC, PA-C

Physician Assistant • Hampton, VA

Professional Overview & Biography Verified Profile Summary

Kenneth Beadle, DSC, PA-C is a registered healthcare professional specializing in Physician Assistant in Hampton, VA. Practice services are available at 77 NEALY AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

77 Nealy Ave

Hampton, VA 236652005

Telephone 7572257630
Associated Practice Facility / Clinic
🏢 633d Medgrp-Jb Langley Facility NPI 1720494834

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hampton, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
75 Specialists

Practicing in Hampton, VA (4432 Statewide)

Telehealth Adoption Rate
16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
12 12 $302.00 $99.80
99285 Emergency department visit for life threatening or functioning severity
11 11 $443.18 $147.34

Medical Specialties & State Licenses

CMS Verified: 2026-06-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9108590

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MO 2024048128

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Veronica Alix

Allergy & Immunology

NPI 1023470838
Steven Hammond

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1093153447
NPI 1104410299

Doctor of Osteopathic Medicine (D.O.)

Scott Baker , FNP-BC

Nurse Practitioner - Family

NPI 1114941929

Family Nurse Practitioner (Board Certified)

NPI 1134523848

Physical Therapist, Doctor of Physical Therapy

NPI 1174185573

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 12, 2026

Registered at 77 NEALY AVE, HAMPTON, VA 236652005 (Tel: 7572257630)

📍
Updated Business Mailing Address June 12, 2026

Registered at 77 NEALY AVE, HAMPTON, VA 236652005

📍
Updated Practice Location August 21, 2019

Registered at 549TH HC/BAACH, UNIT 15245, APO, AP 96271 (Tel: 3157573536)

📍
Updated Business Mailing Address August 21, 2019

Registered at 549TH HC/BAACH, UNIT 15245, APO, AP 962515245

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2019

Physician Assistant (License #PA9108590 in FL)

NPI Profile Active March 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2015

Registered at 307 BOATNER RD, 96TH MDG/EMERGENCY DEPARTMENT, EGLIN AFB, FL 325421302 (Tel: 8508838227)

📍
Updated Business Mailing Address March 02, 2015

Registered at 307 BOATNER RD, 96TH MDG/EMERGENCY DEPARTMENT, EGLIN AFB, FL 325421302 (Tel: 8508838227)

👤
Provider Name / Credentials Updated March 02, 2015

Recorded as KENNETH BEADLE, DSC, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2015

Physician Assistant (License #PA08690 in TX)

🟢
Initial NPI Registration & Enumeration October 08, 2005

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: 1407844087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2005
Last Update: June 12, 2026
Sole Proprietor: No

Mailing Address

77 Nealy Ave

Hampton, VA 236652005

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.