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Beaufort Regional Physicians, LLC

Organization Active NPI Surgery Physician · Washington, NC

NPI 1407045149 · NPPES record last updated Jan 19, 2011

Key facts

NPI
1407045149
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
BEAUFORT REGIONAL PHYSICIANS, LLC
Practice address
606 E. 12TH Street
Washington, NC 27889-3409
Phone
(252) 940-6160
NPI assigned
Oct 18, 2007
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 25

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Beaufort County Hospital Assn Inc (27 organizations share this tax ID)

Locations

1202 Brown St
Washington, NC 27889
Phone (252) 943-0136

601 E 11th St
Washington, NC 27889
Phone (252) 943-9004

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

606 E. 12TH Street
Washington, NC 27889-3409

Mailing address

606 E. 12TH Street
Washington, NC 27889-3409
Phone (252) 940-6160

Other identifiers

IdentifierTypeStateIssuer
5950363MedicaidNC
022TMOtherNCBLUE CROSS BLUE SHIELD

Other names

  • Coastal GI Doing business as

Other providers in Washington, NC

All providers in Washington, NC · Surgery Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.