Bernard R Beaupin, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME136556 Issued in FL

Practice address

2200 W Oak Ave
Plant City, FL 33563

Phone

(716) 447-6936

Fax

(716) 447-6937

NPI assigned

May 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radial Health Southeast LLC

  • Physical Medicine & Rehabilitation Physician
  • Navarre, FL
  • NPI 1174159891
  Medicare reassignment NPD
• Bernard R. Beaupin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
  • NPI 1639416712
  NPD (past) Authorized official
• Sadashiv S Shenoy MD PLLC

  • Vascular & Interventional Radiology Physician
  • Kenmore, NY
  • NPI 1316181936
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1528225083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 15TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044804",
            "telephone_number": "716-507-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W OAK AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33563",
            "telephone_number": "716-447-6936",
            "fax_number": "716-447-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUPIN",
        "first_name": "BERNARD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "248678",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME136556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baycare Outpatient Imaging LLC
• Baycare Urgent Care, LLC
• Martin Beattie, MD
• Matthew Beattie, MD
• Frances E Beaty, RPH
• Stefanie Beetz, LMHC
• Behavioral Therapeutic Solutions, LLC
• Delilah D Bell
• Sara Elizabeth Bender, COTA/L
• Yaneh Simon Bendross

• Physical Medicine & Rehabilitation Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.