Active NPI
Beauregard Physician Group, LLC
- Podiatric Clinic/Center
- Deridder, LA
National Provider Identifier
1780814756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- BEAUREGARD PHYSICIAN GROUP, LLC
- Practice address
- 600 S Pine St
Deridder, LA 70634-4942 - Phone
- (337) 462-7106
- Fax
- (337) 462-7479
- NPI assigned
- Jul 23, 2009
- Organization subpart
- Yes
- Parent organization
- WEST LOUISIANA HEALTH SERVICES, INC
Authorized official
NPPES NPI Registry- Name
- Mr. Jarred Veillon
- Title
- Cfo
- Phone
- (337) 462-7409
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1164985495
Member Of
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Del Rio, TX
- NPI 1790940211
National Provider Directory
National Provider Directory- Part of
- Beauregard Memorial Hospital Medical Staff Services
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD.09850R | LA | |
| Podiatric Clinic/Center | 261QP1100X | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
600 S Pine St
Deridder, LA 70634-4942
Mailing address
PO Box 730
Deridder, LA 70634-0730
Phone (337) 462-7106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2025.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749254400000",
"number": "1780814756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706340730",
"telephone_number": "337-462-7106",
"fax_number": "337-462-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344942",
"telephone_number": "337-462-7106",
"fax_number": "337-462-7479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUREGARD PHYSICIAN GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST LOUISIANA HEALTH SERVICES, INC",
"enumeration_date": "2009-07-23",
"last_updated": "2025-06-07",
"certification_date": "2025-06-07",
"status": "A",
"authorized_official_last_name": "VEILLON",
"authorized_official_first_name": "JARRED",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "337-462-7409",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "MD.09850R",
"primary": false
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
- Beauregard Memorial Hospital Medical Staff Services
- Beauregard Parish School Board
- Beauregard Parish School Board
- Beauregard Pediatric Center, LLC
- Beauregard Physical Therapy Clinic, Inc
- Beauregard Physician Services LLC
- Beauregard Surgery Center, LLC
- Beauregard Urgent Care Center, LLC
- Beauregard Urology Center, LLC
- Beauregard Women'S Health Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.