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

Dr. Michael Alan Beasley, MD

Individual provider Pediatric Sports Medicine Physician · NPI 1407183353

Dr. Michael Alan Beasley, MD is a Pediatric Sports Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.

Licensed in
PA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1000
Fax: (267) 876-2181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence MD483528 (PA)

Record details

NPI number1407183353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2009
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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