Beaufort Regional Physicians, LLC

Organization Active NPI Urology Physician · Washington, NC

NPI 1033249552 · NPPES record last updated Jan 21, 2011

Key facts

NPI
1033249552
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
BEAUFORT REGIONAL PHYSICIANS, LLC
Practice address
1202 Brown St
Washington, NC 27889-4671
Phone
(252) 946-0136
Fax
(252) 946-0189
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Susan S Gerard
Title
Physician Practice Administrator
Phone
(252) 975-4203

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Beaufort County Hospital Assn Inc (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208800000X Yes

Addresses

Primary practice location

1202 Brown St
Washington, NC 27889-4671

Mailing address

1202 Brown St
Washington, NC 27889-4671
Phone (252) 946-0136

Other identifiers

IdentifierTypeStateIssuer
022T2OtherNCBLUE CROSS BLUE SHIELD
5906189MedicaidNC

Other names

  • WASHINGTON UROLOGICAL ASSOCIATES Doing business as

Other providers in Washington, NC

All providers in Washington, NC · Urology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.