Dothan Internal Medicine, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

20759 Issued in AL

Legal business name

DOTHAN INTERNAL MEDICINE, LLC

Practice address

1118 Ross Clark Cir
Suite 105
Dothan, AL 36301-3001

Phone

(334) 699-2004

Fax

(334) 699-2006

NPI assigned

Dec 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rodney K Beuachamp, M.D.

Title

Owner

Phone

(334) 699-2004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney K Beauchamp, M.D.

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1003831983
  NPD (past)

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1962890178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 105",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013001",
            "telephone_number": "334-699-2004",
            "fax_number": "334-699-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 105",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013001",
            "telephone_number": "334-699-2004",
            "fax_number": "334-699-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "BEUACHAMP",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-699-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "20759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1003831983",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dothan Internal Medicine
• Dothan Massage School
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• Dothan Medical Associates, P.C.
• Dothan Neurodiagnostic Center PC
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• Specialist in Dothan, AL
• Providers in Dothan, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.