Robert Boyd Beau Caulder, AGPCNP-C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0024185627 Issued in VA

Practice address

3645 Van Buren Dr
Virginia Beach, VA 23452-3140

Phone

(757) 802-1891

NPI assigned

Nov 18, 2022

Last updated

Nov 18, 2022By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bcaulder@vprj.net

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.

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  Medicare reassignment NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1356050306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 VAN BUREN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523140",
            "telephone_number": "757-802-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 VAN BUREN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523140",
            "telephone_number": "757-802-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULDER",
        "first_name": "ROBERT",
        "middle_name": "BOYD BEAU",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0024185627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bcaulder@vprj.net",
            "affiliation": "N",
            "endpointDescription": "Correctional Facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Correctional Facility",
            "address_1": "9320 Merrimac Trl",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231855967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bcaulder@vprj.net",
            "affiliation": "N",
            "endpointDescription": "Correctional Facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9320 Merrimac Trl",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231855967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.