David W Beaufait, M.D.
Individual provider Active NPI Family Medicine Physician · Enfield, NH
NPI 1396861985 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1396861985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 6754 (NH)
- Practice address
- 411 U.S. Route 4
Enfield, NH 03748 - Phone
- (603) 632-5600
- Fax
- (603) 632-5477
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20988 | NH | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6754 | NH | Yes |
Addresses
Primary practice location
411 U.S. Route 4
Enfield, NH 03748
Mailing address
252 Mechanic St
Lebanon, NH 03766-2613
Phone (603) 632-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743054927 | Other | VT | VERMONT BLUE SHIELD |
| 0105271YPNH01 | Other | NH | BLUE SHIELD |
| 81080107 | Medicaid | NH |
Other providers in Enfield, NH
- Carol Ballentine Andrew
- Rita M Boyce
- Kestin Bunnell
- Sarah Cavarnos
- Comprehensive Communication Consulting, LLC
- David Beaufait
All providers in Enfield, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.