Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evan James Beacom, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184111585

Dr. Evan James Beacom, DO is an Internal Medicine in Minneapolis, Minnesota. Qualified in 2018, 8 years ago. Practices with Fairview Health Services, a 678-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-3000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 69868 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184111585
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2018
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address4123 Oakwood Ln, West Des Moines, IA 50265-5390

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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