Brian C. De Beaubien, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

BD054539 Issued in MI

Practice address

900 Cooper Ave
Suite 3100
Saginaw, MI 48602-5182

Phone

(989) 583-7450

Fax

(989) 583-7452

NPI assigned

Jul 5, 2006

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Wayne State University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant at Home Home health agency, Saginaw, MI, CCN 237431
• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdebeaubien1242@direct.covenanthealthcare.com

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

• Covenant Medical Center, Inc.

  dba Covenant HealthCare

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1972590412
  Medicare reassignment Care Compare group NPD
• Michigan Hip and Knee Replacement

  • Orthopaedic Surgery Physician
  • Saginaw, MI
  • NPI 1467783704
  NPD (past) Authorized official
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376

  Orthopaedic Surgery

  NPD
• Covenant Medical Center, Inc.

  • Urgent Care Clinic/Center
  • Saginaw, MI
  • NPI 1831244466
  NPD
• Advanced Orthopedic Specialists PC

  • Non-Pharmacy Dispensing Site
  • Brighton, MI
  • NPI 1053625467
  NPD (past)
• Michigan Cardiovascular Institute, PC

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1023098191
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation
• Visiting Nurse Association of Saginaw

  dba Covenant Visiting Nurse Association

  • Home Health Agency
  • Saginaw, MI
  • NPI 1073595245
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1043241573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GENOA BUSINESS PARK DR",
            "address_2": "STE 170",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147005",
            "telephone_number": "810-299-8550",
            "fax_number": "810-844-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE",
            "address_2": "SUITE 3100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-7450",
            "fax_number": "989-583-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BEAUBIEN",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "BD054539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4386654",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdebeaubien1242@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "900 Cooper Ave",
            "address_2": "Suite 3100",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Reconstructive Orthopaedic Surgery Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.