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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