Rodney K Beauchamp, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00020759 Issued in AL

Practice address

200 Parkwest Cir Ste 2
Dothan, AL 36303

Phone

(334) 699-2004

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/wire-a732968d

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dothan Internal Medicine

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1598822272
  NPD (past) Authorized official
• Dothan Internal Medicine, LLC

  • Specialist
  • Dothan, AL
  • NPI 1962890178
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Clinic/Center
  • Gainesville, FL
  • NPI 1821184649
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1003831983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARKWEST CIR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033069",
            "telephone_number": "334-699-2004",
            "fax_number": "334-699-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARKWEST CIR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-699-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "RODNEY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00020759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "511-59109",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie S Bean, PHARM D.
• Alexis Michelle Beard
• Michael Jeffrey Beasley, DMD
• Kelli Nicole Beaty, MS, LPC, ADC
• Larry E Beauchamp Jr., ED.S., LMFT
• Beautiful Begginnings LLC
• Beautifulbeginningsllc
• Catherine Elaine Beaver, CRNA
• Jason D. Beaver, M.D.
• Beck Behavior Therapy and Consultation

• Internal Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.