Organization Active NPI

Gilles X Beaumont DC PC

  • Orthopedic Chiropractor
  • Mobile, AL
National Provider Identifier
1780855122
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1080 Issued in AL
Legal business name
GILLES X BEAUMONT DC PC
Practice address
801 Downtowner Blvd
Mobile, AL 36609-5403
Phone
(251) 341-1211
Fax
(251) 414-5104
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Gilles Xavier Beaumont, D.C.
Title
President
Phone
(251) 341-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 1080 AL Primary

Addresses

Primary practice location

801 Downtowner Blvd
Mobile, AL 36609-5403

Mailing address

801 Downtowner Blvd
Mobile, AL 36609-5403
Phone (251) 341-1211

Other identifiers 3

IdentifierTypeStateIssuer
44-10081OtherALUNTIED HEALTH CARE
51025978OtherBCBS ALABAMA
4359240OtherALAETNA

National Provider Directory

National Provider Directory

Locations

801 Downtowner Blvd
Mobile, AL 36609
Phone (251) 341-1211

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1780855122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DOWNTOWNER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095403",
            "telephone_number": "251-341-1211",
            "fax_number": "251-414-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DOWNTOWNER BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095403",
            "telephone_number": "251-341-1211",
            "fax_number": "251-414-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLES X BEAUMONT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "BEAUMONT",
        "authorized_official_first_name": "GILLES",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-341-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "AL",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNTIED HEALTH CARE",
            "identifier": "44-10081",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  ALABAMA",
            "identifier": "51025978",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4359240",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.