Active NPI
Bernard Beaupin MD PLLC
- Physical Medicine & Rehabilitation Physician
- Buffalo, NY
National Provider Identifier
1962840447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 248678
- Legal business name
- BERNARD BEAUPIN MD PLLC
- Practice address
- 505 Delaware Ave FL 2
Buffalo, NY 14202-1309 - Phone
- (716) 447-6936
- Fax
- (716) 447-6937
- NPI assigned
- Jun 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bernard R Beaupin, M.D.
- Title
- Sole Member
- Phone
- (716) 447-6936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 248678 | NY | Primary |
Addresses
Primary practice location
505 Delaware Ave FL 2
Buffalo, NY 14202-1309
Mailing address
505 Delaware Ave FL 2
Buffalo, NY 14202-1309
Phone (716) 447-6936
Other practice location 1
2914 Elmwood Ave
Kenmore, NY 14217-1332
Phone (716) 447-6936
National Provider Directory
National Provider DirectoryLocations
505 Delaware Ave
Fl 2
Buffalo, NY 14202
Phone (716) 447-6936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1962840447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 DELAWARE AVE FL 2",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021309",
"telephone_number": "716-447-6936",
"fax_number": "716-447-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 DELAWARE AVE FL 2",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021309",
"telephone_number": "716-447-6936",
"fax_number": "716-447-6937"
}
],
"practiceLocations": [
{
"address_1": "2914 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "NY",
"postal_code": "142171332",
"country_code": "US",
"telephone_number": "716-447-6936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BERNARD BEAUPIN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-06",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BEAUPIN",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "716-447-6936",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "248678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.