Beaufort Physician Partners

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BEAUFORT PHYSICIAN PARTNERS

Practice address

955 Ribaut Rd
Beaufort, SC 29902

Phone

(843) 522-5000

NPI assigned

Nov 13, 2017

Last updated

Nov 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth W Miller

Title

Cfo

Phone

(843) 522-5142

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16436/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1548773583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5200",
            "fax_number": "843-522-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-522-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "974 Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299025486",
            "country_code": "US",
            "telephone_number": "843-524-3344",
            "fax_number": "843-524-5574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUFORT PHYSICIAN PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-522-5142"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSSC",
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaufort Orthopaedic Sports and Spine Center LLC
• Beaufort Pediatrics
• Beaufort Pediatrics, P.a.
• Beaufort Pediatrics, P.a.
• Beaufort Pharmacy LLC (Beaufort Pharmacy and Compouding)
• Beaufort Psychological Services
• Beaufort Smiles PA
• Barney B. Beaver, D.O.
• Stephanie Armande Becaas, LMSW
• Maribel Beck, CRNA

• Primary Care Clinic/Center in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.