Organization Active NPI

Beachcare Urgent and Family Medical Center, PLLC

  • Primary Care Clinic/Center
  • Morehead City, NC
National Provider Identifier
1235518234
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BEACHCARE URGENT AND FAMILY MEDICAL CENTER, PLLC
Practice address
5059 Hwy 70 W
Morehead City, NC 28557-4503
Phone
(252) 808-3696
Fax
(252) 808-2022
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Mr. Steven David Rappaport
Title
Billing Manager
Phone
(252) 808-3696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5059 Hwy 70 W
Morehead City, NC 28557-4503

Mailing address

5059 Hwy 70 W
Morehead City, NC 28557-4503
Phone (252) 808-3696

Other identifiers 1

IdentifierTypeStateIssuer
5919866MedicaidNC

National Provider Directory

National Provider Directory

Locations

5059 US Highway 70 W
Morehead City, NC 28557
Phone (252) 207-0626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1235518234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 HWY 70 W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574503",
            "telephone_number": "252-808-3696",
            "fax_number": "252-808-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 HWY 70 W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574503",
            "telephone_number": "252-808-3696",
            "fax_number": "252-808-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHCARE URGENT AND FAMILY MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "252-808-3696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919866",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.