NPIMap

Organization Active NPI

Beaufort Regional Physicians, LLC

Doing business as Inner Banks Urgent Care

  • Urgent Care Clinic/Center
  • Washington, NC
National Provider Identifier
1215065180
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BEAUFORT REGIONAL PHYSICIANS, LLC
Doing business as
Inner Banks Urgent Care
Practice address
608 E 12TH St
Washington, NC 27889-3409
Phone
(252) 948-3200
Fax
(252) 948-3202
NPI assigned
Mar 1, 2007
Last updated
Jan 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Susan S Gerard
Title
Physician Practice Administrator
Phone
(252) 975-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

608 E 12TH St
Washington, NC 27889-3409

Mailing address

608 E 12TH St
Washington, NC 27889-3409
Phone (252) 948-3200

Other identifiers 2

IdentifierTypeStateIssuer
5905985MedicaidNC
022TWOtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • INNER BANKS URGENT CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaufort County Hospital Association Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

608 E 12th St
Washington, NC 27889
Phone (252) 758-3211

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1215065180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E 12TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893409",
            "telephone_number": "252-948-3200",
            "fax_number": "252-948-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E 12TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893409",
            "telephone_number": "252-948-3200",
            "fax_number": "252-948-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT REGIONAL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-975-4203"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905985",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "022TW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNER BANKS URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.