Beavertown Clinic Inc
Beavertown Clinic Inc is a healthcare organization registered as Family Medicine Physician in Kettering, OH, holding Type 2 (organization) NPI 1902803703 since 2005. The authorized official on file is Bernard Rose, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902803703 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Beavertown Clinic Inc |
| Practice address | 3017 WILMINGTON PIKE, Kettering, OH, 45429 |
| Phone | 9372942555 |
| Fax | 9372943211 |
| Enumeration date | 2005-07-07 |
| Last updated in NPPES | 2010-02-23 |
Authorized official
| Name | Bernard Rose |
|---|---|
| Title | Physician |
| Phone | 9372942555 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | 35058825R | OH |
| 207Q00000X | Family Medicine Physician | Primary | 35052219R | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R00609981 | Medicaid | OH | — |
Copy-ready billing details
Provider: Beavertown Clinic Inc NPI: 1902803703 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 3017 WILMINGTON PIKE, Kettering, OH, 45429
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235136029 | Karl Rose | Individual | Family Medicine Physician | Kettering, OH |
| 1508864042 | Bernard Rose | Individual | Family Medicine Physician | Kettering, OH |
| 1215964184 | Stephen Ward | Individual | Ophthalmology Physician | Dayton, OH |
| 1376696534 | Catherine Rose | Individual | Ophthalmology Physician | Dayton, OH |
| 1164622692 | Dr Rose & Ward MD Inc | Organization | Ophthalmology Physician | Dayton, OH |
| 1760040315 | Karl G. Rose M.D., Inc. | Organization | Family Medicine Physician | Kettering, OH |
Verify this record
Cross-check NPI 1902803703 against the authoritative CMS record: view Beavertown Clinic Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Beavertown Clinic Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-23.