MR. CARL JOSEPH BEAUDRY M.D. NPI 1750338380

NPI Information

  • NPI: 1750338380
  • Provider Name: MR. CARL JOSEPH BEAUDRY, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 2501 JIMMY JOHNSON BLVD
    SUITE 202
    PORT ARTHUR, TX
    ZIP 77640
  • Phone: (409) 722-4446

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NPI Details

MR. Carl Joseph Beaudry, M.D. is a specialist in Port Arthur, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Carl Joseph Beaudry, M.D. NPI is 1750338380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2501 JIMMY JOHNSON BLVD
SUITE 202
PORT ARTHUR, TX
ZIP 77640-007
Phone: (409) 722-4446
Fax: (409) 722-4448

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 5/28/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistE9531TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1097777901MEDICAIDTEXAS
2E9531OTHERTEXASPHYSICIAN PERMIT
3687562OTHERTEXASAETNA
4CIGNAOTHERTEXAS3739015001
50082GSOTHERTEXASBLUE CROSS
6S0033018OTHERTEXASDPS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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