Organization Active NPI

Bernard Beaupin MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
National Provider Identifier
1962840447
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
248678 Issued in NY
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

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.