Individual provider Active NPI

Frederick Joseph Bebeau, P.A.

  • Surgical Physician Assistant
  • Beaumont, TX
National Provider Identifier
1104894997
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA04442 Issued in TX
Practice address
3460 N. Dowlen Rd
Beaumont, TX 77706-7690
Phone
(409) 838-0346
Fax
(409) 839-3710
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA04442 TX Primary

Addresses

Primary practice location

3460 N. Dowlen Rd
Beaumont, TX 77706-7690

Mailing address

3460 N. Dowlen Rd
Beaumont, TX 77706-7690
Phone (409) 838-0346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050509001072 TX Practitioner - Physician Assistant 4688614647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Bone and Joint Institute PAGroup PAC ID 1951323385, 20 clinicians
Etx Medical Group, PLLCGroup PAC ID 8729494927, 14 clinicians

Practice addresses (Care Compare)

3460 Dowlen Rd
Beaumont, TX 77706-7222
Phone (409) 838-0346

4310 Dowlen Rd
Suite 16
Beaumont, TX 77706-6861
Phone (409) 299-4448

Hospital & facility affiliations

  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Merit-based Incentive Payment System (MIPS)

Final score
78.31 of 100Reported as group
Quality
74.88
Improvement activities
40
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04442TXMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: frederickbebeau@bbj.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1104894997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 N. DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N. DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBEAU",
        "first_name": "FREDERICK",
        "middle_name": "JOSEPH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.