Individual provider · NPI-1

Dr. Gregory Scott Beauregard, MD

Hospitalist · Munster, IN

NPI number1982698676
StatusActive
Last updated in NPPESApr 18, 2025

Details

NPI
1982698676
Entity type
Individual (NPI-1)
Name
Dr. Gregory Scott Beauregard
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 8, 2005
Certification date
Apr 18, 2025
Last updated
Apr 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist01052692AINYes
207R00000X Internal Medicine01052692AIN
208M00000X HospitalistME140420FL

Practice location

701 Superior Ave
Munster, IN 46321-4037

Phone 219-852-1524 · Fax 219-933-2288

Mailing address

Po Box 781076
Detroit, MI 48278-1076

Phone 317-528-4800 · Fax 317-865-1479

Other practice locations

2338 Immokalee Rd # 186
Naples, FL 34110-1445

Phone 239-330-2933

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