MR. D'LIVRO LEMAT BEAUCHAMP (NPI# 1205803327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205803327 |
| Entity Type | Individual |
| Full Name | MR. D'LIVRO LEMAT BEAUCHAMP |
| Credential | M.D. |
| Practice Address |
4705 Woodmere Blvd Montgomery AL 36106-3078 |
| Practice Telephone | 3345580262 |
| Practice Fax Number | 3345580267 |
| Mailing Telephone | 3345580262 |
| Mailing Fax Number | 3345580267 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2015-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
20243 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 20243 | AL | Allopathic & Osteopathic Physicians |
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
20243 | AL | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
20243 | AL | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
20243 | AL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
20243 | AL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
20243 | AL | Allopathic & Osteopathic Physicians |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
20243 | AL | Ambulatory Health Care Facilities |
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
20243 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009987015 | 05 | |
| AL | BCBS ALABAMA | 515-21545 | 01 |
| Street Address |
4705 WOODMERE BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677824 | Leigh Anne Luna | Nurse Practitioner | 4705 Woodmere Blvd, Montgomery, AL 36106-3078 | 2016-05-23 |
| 1841472529 | Obelisk Healthcare | Clinic/Center | 4705 Woodmere Blvd, Montgomery, AL 36106-3078 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
| 1992313670 | Integrated Medical Care Pllc | Family Medicine | 10427 Twin Circles Dr, Montgomery, TX 77356-4704 | 2020-07-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| 1508496688 | Montgomery General Hospital, Inc | Family Medicine | 401 6th Ave Ste 301, Montgomery, WV 25136-2116 | 2020-01-17 |
| 1427521962 | Health Services, Inc | Family Medicine | 2801 Willena Ave, Montgomery, AL 36107-1055 | 2019-01-08 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1871010223 | Micah Bosley Md, Pllc | Family Medicine | 102 Piping Rock Dr, Montgomery, TX 77356-5860 | 2017-08-26 |
| 1003267899 | Your Doctor's Office, PC | Family Medicine | 8630 Vaughn Rd, Montgomery, AL 36117-8852 | 2016-06-23 |
| 1194175513 | Miho Suga | Family Medicine | 1801 Pine St Ste 301, Montgomery, AL 36106-1154 | 2016-06-16 |
| 1265834618 | Sarah Elizabeth Connors | Family Medicine | 4150 Carmichael Rd Ste B, Montgomery, AL 36106-2933 | 2014-09-17 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on MR. D'LIVRO LEMAT BEAUCHAMP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.