John Robert Beauchamp, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D1544 Issued in TX

Practice address

7959 Broadway St
Suite 604
San Antonio, TX 78209-2667

Phone

(210) 824-7938

Fax

(210) 805-9523

NPI assigned

Jul 14, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174522908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-824-7938",
            "fax_number": "210-805-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 BROADWAY ST",
            "address_2": "SUITE 604",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092667",
            "telephone_number": "210-824-7938",
            "fax_number": "210-805-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D1544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4259770",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00J913",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• April Beaty, SLP
• Lauren Nicole Beaudoin, OTR
• Christa Beauregard, LCSW
• Beautiful Beginnings Counseling & Therapeutic Services PLLC
• Beautiful Image of San Antonio
• Gina Beauty

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.