Dothan Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00020759 Issued in AL

Legal business name

DOTHAN INTERNAL MEDICINE

Practice address

1118 Ross Clark Cir
Suite 105
Dothan, AL 36301-3001

Phone

(334) 699-2004

Fax

(334) 699-2006

NPI assigned

Jan 2, 2007

Last updated

Jan 31, 2008By 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

Rodney K Beauchamp, M.D.NPI 1003831983

Title

President

Phone

(334) 699-2004

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodney K Beauchamp, M.D.

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1003831983
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1598822272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 105",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013001",
            "telephone_number": "334-699-2004",
            "fax_number": "334-699-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 105",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013001",
            "telephone_number": "334-699-2004",
            "fax_number": "334-699-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-699-2004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00020759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51522252",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919960",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dothan Houston County Mental Retardation Board, Inc. (Vaughn Blumberg Services)
• Dothan Houston County Mr Board Inc. (Vaughn Blumberg Services)
• Dothan Hypertension Nephrology Associates
• Dothan Internal Medicine, LLC
• Dothan Massage School
• Dothan Medical Associates, P.C.
• Dothan Medical Associates, P.C.
• Dothan Neurodiagnostic Center PC

• Internal Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.