NPIMap

Individual provider Active NPI

Nathan Russo Marchand, MD

  • General Practice Physician
  • Beaumont, TX
National Provider Identifier
1114020708
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
M7400 Issued in TX
Practice address
3030 North St
Suite 430
Beaumont, TX 77702-1433
Phone
(409) 899-2500
Fax
(409) 898-7579
NPI assigned
Sep 7, 2006
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M7400 TX
General Practice Physician 208D00000X M7400 TX Primary

Addresses

Primary practice location

3030 North St
Suite 430
Beaumont, TX 77702-1433

Mailing address

3030 North St
Suite 430
Beaumont, TX 77702-1433
Phone (409) 899-2500

Other identifiers 1

IdentifierTypeStateIssuer
193326901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000134 TX Practitioner - Family Practice 3678478633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Dermatology and Family Practice, LLPGroup PAC ID 9931188463, 3 clinicians

Practice addresses (Care Compare)

3030 N St
Suite 430
Beaumont, TX 77702-1434
Phone (409) 899-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7400TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Dermatology & Family Practice, LLP Family Medicine CurrentSince Jul 16, 2007 Accepting new patients
Rmca Professionals MGMT, LLC Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Christus Health Southeast Texas Past Accepting new patients

Locations

3030 North St
Ste 430
Beaumont, TX 77702
Phone (409) 899-2500

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1114020708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST",
            "address_2": "SUITE 430",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021433",
            "telephone_number": "409-899-2500",
            "fax_number": "409-898-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST",
            "address_2": "SUITE 430",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021433",
            "telephone_number": "409-899-2500",
            "fax_number": "409-898-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHAND",
        "first_name": "NATHAN",
        "middle_name": "RUSSO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7400",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "M7400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193326901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.