- Practice location
- 777 Hospital Way, Pocatello, ID 83201-5175
- Phone
- 208-239-1000
- Fax
- —
- Last updated
- September 16, 2024
Christian Beauregard is a Family Medicine based in Pocatello, ID. Christian Beauregard practices in Pocatello, ID and has the professional credentials of DO. The NPI Number for Christian Beauregard is 1952984973 and holds a License No. 1161576 (ID). The current practice location address for Christian Beauregard is 777 Hospital Way, Pocatello, ID 83201-5175 and can be reached out via phone at 208-239-1000.
Provider Profile Details
- NPI Number
- 1952984973
- Provider Name
- Christian Beauregard
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 777 Hospital Way, Pocatello, ID 83201-5175
- Phone Number
- 208-239-1000
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 29, 2021
- Last Update Date
- September 16, 2024
- Certification Date
- September 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 777 Hospital Way
Pocatello, ID 83201-5175 - City
- Pocatello
- State
- Idaho
- Zip
- 83201-5175
- Phone Number
- 208-239-1000
Provider Business Mailing Address Details
- Address
- 1 North St Apt 1R
Portland, ME 04101-2742 - City
- Portland
- State
- ME
- Zip
- 04101-2742
- Phone Number
- 207-491-6163
License Information
- License Number
- 1161576
- License State
- ID
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Pocatello, ID
View all Family Medicine providers in Pocatello →Frequently Asked Questions
What is the NPI number of Dr. Christian Beauregard, DO?
The NPI number of Dr. Christian Beauregard, DO is 1952984973. It was assigned on April 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Christian Beauregard, DO?
Dr. Christian Beauregard, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ID under license number 1161576.
Where does Dr. Christian Beauregard, DO practice?
The practice location is 777 Hospital Way, Pocatello, ID 83201-5175. The office can be reached at 208-239-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952984973 directly on the NPPES registry website.