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

Gregory Royce Beavers, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1245465137

Gregory Royce Beavers, IDMT is an Independent Duty Medical Technicians in Offutt A F B, Nebraska. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2501 Capehart Rd
Offutt A F B, NE 68113-1043
Phone: (402) 294-9429
Fax: (402) 232-1644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1245465137
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedMay 20, 2009
Last updated in NPPESMay 20, 2009
Mailing address2501 Capehart Rd, Offutt A F B, NE 68113-1043

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