DR. GALE ROLLAND JR. BEARDSLEY (M.D.) – Psychiatry Physician, NPI 1790789600

DR. GALE ROLLAND JR. BEARDSLEY (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. MD4083 (HI). The NPI Number for DR. GALE ROLLAND JR. BEARDSLEY (M.D.) is 1790789600

Main info

Male
Sole Proprietor
Name
DR. GALE ROLLAND JR. BEARDSLEY (M.D.)
NPI
1790789600
Phone
(808) 721-7278
Address
1629 WILDER AVE APT 704
Enumeration Date
8 June 2005
Last Update Date
7 May 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:21State licenses:2Digital endpointsOther names

Provider Addresses for DR. GALE ROLLAND JR. BEARDSLEY (M.D.)

  • 1629 WILDER AVE APT 704

    HONOLULU, HI 968224666

    Phone: (808) 721-7278

    Fax: (808) 207-3799

    Type: Mailing

  • Kabuki Restaurant, 600, Kapiolani Boulevard, Downtown, Hawaii Capital Historic District, Honolulu, Honolulu County, Hawaii, 96813, United States

    STE 402

    HONOLULU, HI 968135141

    Phone: (808) 537-2665

    Fax: (808) 524-3747

    Type: Mailing

  • 600 Kapiolani Blvd

    Ste 402

    Honolulu, HI 968135141

    Phone: (808) 537-2665

    Fax: (808) 524-3747

    Type: Location

  • 2550 W Clinton Ave Bldg W

    Fresno, CA 937054206

    Phone: (808) 721-7278

    Fax: (808) 207-3799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210625001621IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes13034$0
99214Established patient office or other outpatient visit, 30-39 minutes2413$0
View full utilization report →

Insurance plans in this area (ZIP 96822)

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Reviews

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Frequently asked questions

What NPI should I save for DR. GALE ROLLAND JR. BEARDSLEY (M.D.)?
Save NPI 1790789600 if you need a stable reference for DR. GALE ROLLAND JR. BEARDSLEY (M.D.).
Is DR. GALE ROLLAND JR. BEARDSLEY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. GALE ROLLAND JR. BEARDSLEY (M.D.) work in?
You can think of DR. GALE ROLLAND JR. BEARDSLEY (M.D.) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is DR. GALE ROLLAND JR. BEARDSLEY (M.D.)'s primary listing?
We display Honolulu, Hawaii because that is what the record indicates for DR. GALE ROLLAND JR. BEARDSLEY (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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