NPIMap

Organization Active NPI

Beauregard Medical Center, LTD

  • General Practice Physician
  • Alexandria, VA
National Provider Identifier
1780708024
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BEAUREGARD MEDICAL CENTER, LTD
Practice address
3450 N Beauregard St
Alexandria, VA 22302-1200
Phone
(703) 820-7000
Fax
(703) 820-5564
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. John S Pulizzi Jr.
Title
President
Phone
(703) 824-9397

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3450 N Beauregard St
Alexandria, VA 22302-1200

Mailing address

3450 N Beauregard St
Alexandria, VA 22302-1200
Phone (703) 820-7000

Other identifiers 1

IdentifierTypeStateIssuer
2156OtherCARE FIRST GROUP #

National Provider Directory

National Provider Directory

Locations

3450 N Beauregard St
Alexandria, VA 22302
Phone (703) 820-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGGBA

Practitioners & affiliated clinicians

Practitioners 3

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1780708024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N BEAUREGARD ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021200",
            "telephone_number": "703-820-7000",
            "fax_number": "703-820-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N BEAUREGARD ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021200",
            "telephone_number": "703-820-7000",
            "fax_number": "703-820-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD MEDICAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "PULIZZI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-824-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST GROUP #",
            "identifier": "2156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.