# BEAUFORT REGIONAL PHYSICIANS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** WASHINGTON FAMILY MEDICINE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740428176
- **Authorized official:** MRS. SUSAN S GERARD (PHYSICIAN PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (252) 975-4203

## Contact information

- **Practice address:** 501 W 15TH ST, WASHINGTON, NC 27889-3565
- **Practice address phone:** (252) 975-2667
- **Practice address fax:** (252) 975-2507
- **Mailing address:** 501 W 15TH ST, WASHINGTON, NC 27889-3565
- **Mailing address phone:** (252) 975-2667
- **Mailing address fax:** (252) 975-2507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 01/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 022TU | BLUE CROSS BLUE SHIELD | NC |
| 05 | — | 5950575 | — | NC |