Beauregard Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEAUREGARD FAMILY MEDICINE LLC

Practice address

325 W 8TH St
Deridder, LA 70634-5505

Phone

(337) 463-3387

Fax

(949) 862-5301

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey David Dobbins, MDNPI 1275845091

Title

Doctor

Phone

(337) 463-3387

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Dobbins, M.D.

  • Family Medicine Physician
  • Deridder, LA
  • NPI 1275845091
  Medicare reassignment NPD Authorized official
• Brenda Renee Mahaffey, APRN

  • Primary Care Nurse Practitioner
  • Deridder, LA
  • NPI 1629738190
  NPD (past)

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1841611092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345505",
            "telephone_number": "337-463-3387",
            "fax_number": "949-862-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345505",
            "telephone_number": "337-463-3387",
            "fax_number": "949-862-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "337-463-3387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342533",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beauregard Arc
• Beauregard Arc (Beaueregard Association for Retarded Citizens Inc)
• Beauregard Behavioral Health Clinic
• Beauregard Emergency Group LLC
• Beauregard Family Medical Center, LLC
• Beauregard Hematolog & Oncology
• Beauregard Hematology & Oncology
• Beauregard Internal Medicine Center, LLC
• Beauregard Medical and Surgical Center, LLC
• Beauregard Medical Solutions LLC (Beauregard Medical Supply)

• Family Medicine Physician in Deridder, LA
• Providers in Deridder, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.