Organization Active NPI

Bernard R. Beaupin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
National Provider Identifier
1639416712
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
248678 Issued in NY
Legal business name
BERNARD R. BEAUPIN, M.D.
Practice address
2914 Elmwood Ave
Suite 3
Buffalo, NY 14217-1332
Phone
(716) 447-6936
Fax
(716) 447-6937
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Bernard R Beaupin, MDNPI 1528225083
Title
Sole Owner
Phone
(716) 447-6936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 248678 NY Primary

Addresses

Primary practice location

2914 Elmwood Ave
Suite 3
Buffalo, NY 14217-1332

Mailing address

2914 Elmwood Ave
Suite 3
Buffalo, NY 14217-1332
Phone (716) 447-6936

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1639416712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 ELMWOOD AVE",
            "address_2": "SUITE 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171332",
            "telephone_number": "716-447-6936",
            "fax_number": "716-447-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 ELMWOOD AVE",
            "address_2": "SUITE 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171332",
            "telephone_number": "716-447-6936",
            "fax_number": "716-447-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD R. BEAUPIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "BEAUPIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "716-447-6936",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "248678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.