Beauregard Physician Group, Llc in Deridder LA

Beauregard Physician Group, Llc is an orthopedic surgery with a current address of 600 S Pine St Deridder LA 70634-4942. The NPI is 1780814756, and the license number is MD.09850R (LA). It was issued on 07/23/2009. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 04/13/2017.

 

Beauregard Physician Group, Llc can be reached by phone at 3374627106, by mail at Po Box 730 Deridder LA 70634-0730, or by fax at 3374627479.

 

Darrell Kingham (Cfo) is the authorized representative of the organization and can be reached at this phone number: 3374627111.

Name: Beauregard Physician Group, Llc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: Yes

Authorized Name: Darrell Kingham

Authorized Title/Position: Cfo

Contact Number: 3374627111

 

Practice Location Address:

600 S Pine St

Deridder

LA 70634-4942

Telephone Number: 3374627106

Fax Number: 3374627479

Mailing Address:

Po Box 730

Deridder

LA 70634-0730

Telephone Number: 3374627106

Fax Number: 3374627479

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1780814756

Enumeration Date: 07/23/2009

Last Update: 04/13/2017

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number: MD.09850R

License State: LA

 

Taxonomy Group: 193200000x Multi-Specialty Group

 

Other Taxonomy (if any):

261QP1100X

LA

Y

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

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