Alton James Beaubeouf Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1350 Issued in SC

Practice address

3288 Railroad Ave
Bamberg, SC 29003-1084

Phone

(803) 245-4742

Fax

(803) 245-2214

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699796094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290030988",
            "telephone_number": "803-245-4742",
            "fax_number": "803-245-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 RAILROAD AVE",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031084",
            "telephone_number": "803-245-4742",
            "fax_number": "803-245-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUBEOUF",
        "first_name": "ALTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bamberg Medical Equipment & Supply
• Bamberg Rescue Squad, Inc
• Bamberg School District 1
• Barnwell County Hospital (Bamberg Medical Center)
• Barnwell County Hospital (Bamberg Rural Health Clinic RHC)
• Paula Boland
• Elizabeth Brandon, OTR L
• William N Braswell, M.D.
• Joseph Lamar Brown
• Paul David Brown, PA-C

• Chiropractor in Bamberg, SC
• Providers in Bamberg, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.