NPIMap

Beaufort Regional Physicians, LLC

Organization Active NPI Family Medicine Physician · Washington, NC

NPI 1740428176 · NPPES record last updated Jan 21, 2011

Key facts

NPI
1740428176
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
BEAUFORT REGIONAL PHYSICIANS, LLC
Practice address
501 W 15TH St
Washington, NC 27889-3565
Phone
(252) 975-2667
Fax
(252) 975-2507
NPI assigned
Jan 22, 2009
Organization subpart
No

Authorized official

Name
Mrs. Susan S Gerard
Title
Physician Practice Administrator
Phone
(252) 975-4203

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Beaufort County Hospital Assn Inc (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

501 W 15TH St
Washington, NC 27889-3565

Mailing address

501 W 15TH St
Washington, NC 27889-3565
Phone (252) 975-2667

Other identifiers

IdentifierTypeStateIssuer
022TUOtherNCBLUE CROSS BLUE SHIELD
5950575MedicaidNC

Other names

  • WASHINGTON FAMILY MEDICINE CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2011.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1740428176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-975-2667",
            "fax_number": "252-975-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-975-2667",
            "fax_number": "252-975-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT REGIONAL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-975-4203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "022TU",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950575",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON FAMILY MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

All providers in Washington, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.