Beavertown Clinic Inc
NPI 1902803703 · Family Medicine Physician · Kettering, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beavertown Clinic Inc is a Family Medicine Physician organization in Kettering, OH (NPI 1902803703).
Provider details
- NPI number
- 1902803703
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bernard Rose, Physician(937) 294-2555
- License
- 35058825R (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2010-02-23
Frequently asked questions
- What is Beavertown Clinic Inc's NPI number?
- Beavertown Clinic Inc's National Provider Identifier (NPI) is 1902803703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beavertown Clinic Inc?
- Beavertown Clinic Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beavertown Clinic Inc located?
- Beavertown Clinic Inc's practice location on file with NPPES is 3017 Wilmington Pike, Kettering, OH 45429-4169.
- What is Beavertown Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Beavertown Clinic Inc is (937) 294-2555.
- Does Beavertown Clinic Inc accept Medicare?
- Beavertown Clinic Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beavertown Clinic Inc?
- The authorized official listed on Beavertown Clinic Inc's NPPES record is Bernard Rose, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beavertown Clinic Inc's NPI active?
- Yes — Beavertown Clinic Inc's NPI (1902803703) is active in the NPPES registry as of the last update on 2010-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.