Didier Beauboeuf

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9111523 Issued in FL

Practice address

2600 Van Buren St
Hollywood, FL 33020-4818

Phone

(954) 927-0108

NPI assigned

Dec 7, 2018

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: didier.beauboeuf.1@4307.direct.athenahealth.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.

• Premier Healthcare Centers, LP

  dba Common Health

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1669931762
  Medicare reassignment
• Van Buren Medical Center, Inc.

  • Primary Care Clinic/Center
  • Hollywood, FL
  • NPI 1093025231
  NPD (past)

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1053882639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NE 199TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793041",
            "telephone_number": "786-339-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204818",
            "telephone_number": "954-927-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUBOEUF",
        "first_name": "DIDIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "9111523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be-Well Medical Rehab Inc.
• Wanda Beachum, PTA
• Beacon of Hope Consultation Services, LLC
• Ashley Beade
• Teri A Bean, CRNA
• Jeanne Beaufort, MD
• Sofiya Beaufort, PA-C
• Beauty Vault Lux LLC.
• Beauvais Medical Equipment Inc (Beauvais NEMT Transportation Services)
• Wilda B Beauvais, DR.

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.