William James Beaujon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M9844 Issued in TX

Practice address

1418 Tartan Dr
Allen, TX 75013-4653

Phone

(972) 249-9783

Fax

(972) 805-9587

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1992961387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130003",
            "telephone_number": "972-249-9783",
            "fax_number": "972-805-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 TARTAN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134653",
            "telephone_number": "972-249-9783",
            "fax_number": "972-805-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUJON",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028326-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon Behavioral of Texas PA
• Richelle Renee Bean, O.D.
• Heather B Beard, RD
• Carri Leigh Bearg, R.D., L.D.
• Elizabeth Beasley-Odutola
• Allison Beazley, LAT, ATC
• Bec N Call Wheelchair Transportation
• Melissa Lynn Becker
• Marian Bednar, MD
• Behavioral Health Assessments

• All providers in Allen, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.