Active NPI
Joseph Bernard Peraud, M.D.
- Family Medicine Physician
- Fredericksburg, IA
National Provider Identifier
1083609044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19385
- Practice address
- 115 Schult Ridge Rd
Fredericksburg, IA 50630-9582 - Phone
- (563) 237-5316
- Fax
- (563) 237-6337
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19385 | IA | Primary |
Addresses
Primary practice location
115 Schult Ridge Rd
Fredericksburg, IA 50630-9582
Mailing address
115 Schult Ridge Rd
Fredericksburg, IA 50630-9582
Phone (563) 237-5316
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13039 | Other | IA | BCBS |
| 0130393 | Medicaid | IA | |
| 7881 | Other | IA | MIDLANDS CHOICE |
| 2313554 | Other | IA | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19385 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1083609044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SCHULT RIDGE RD",
"city": "FREDERICKSBURG",
"state": "IA",
"postal_code": "506309582",
"telephone_number": "563-237-5316",
"fax_number": "563-237-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SCHULT RIDGE RD",
"city": "FREDERICKSBURG",
"state": "IA",
"postal_code": "506309582",
"telephone_number": "563-237-5316",
"fax_number": "563-237-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAUD",
"first_name": "JOSEPH",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "19385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13039",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0130393",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "7881",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2313554",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.