John R. Beauchamp M.D., P.a

Primary specialty

SpecialistTaxonomy code 174400000X

License

D1544 Issued in TX

Legal business name

JOHN R. BEAUCHAMP M.D., P.A

Practice address

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

Phone

(210) 824-7938

Fax

(210) 805-9523

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Beauchamp, M.D. P.A

Title

Doctor

Phone

(210) 824-7938

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376650887",
    "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": {
        "organization_name": "JOHN R. BEAUCHAMP M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-824-7938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. P.A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D1544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00J913",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "4259770",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Mastrovich, M.D., P.a.
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• John P Huff MD PHD PA (Arthritis & Osteoporosis Center of South Texas)
• John R Huriega
• John R Kellogg, DDS
• John S Matlock MD PA
• John W. Muehl, D.D.S.
• Ancy John
• Bijo K John, MD
• Chimdinma John, NONE

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.