Beaufort Regional Physicians, LLC
Organization Active NPI Surgery Physician · Washington, NC
NPI 1801848817 · NPPES record last updated Jan 21, 2011
Key facts
- NPI
- 1801848817
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- BEAUFORT REGIONAL PHYSICIANS, LLC
- Practice address
- 615 E 12TH St
Washington, NC 27889-3408 - Phone
- (252) 946-0181
- Fax
- (252) 946-7774
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Susan S Gerard
- Title
- Physician Practice Administrator
- Phone
- (252) 975-4203
Corporate family (same tax ID) 25
National Provider Directory
- Tax ID family
- Beaufort County Hospital Assn Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
615 E 12TH St
Washington, NC 27889-3408
Mailing address
615 E 12TH St
Washington, NC 27889-3408
Phone (252) 946-0181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022T5 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8902634 | Medicaid | NC |
Other names
- SEABOARD SURGICAL ASSOCIATES
Other providers in Washington, NC
- Beaufort Regional Physicians, LLC
- Beaufort Regional Physicians, LLC
- Beaufort Regional Physicians, LLC
- Beaufort Regional Physicians, LLC
- Beaufort Regional Physicians, LLC
- Beaufort Regional Physicians, LLC
- Beaufort Regional Physicians, LLC
- Beaufort Regional Physicians,LLC
- Daniel Patrick Becak
- Allison Tankard Bedsole
All providers in Washington, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.