| Beauregard Clinic | |
|
7667 Alabama Hwy 51 Suite B Opelika AL 36804 | |
| (334) 737-5557 | |
| (334) 767-5646 |
| Full Name | Beauregard Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 7667 Alabama Hwy 51 Suite B, Opelika, Alabama |
| Authorized Official Name and Position | Martin Roach (OWNER/MD) |
| Authorized Official Contact | 3347375557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beauregard Clinic 7667 Alabama Hwy 51 Suite B Opelika AL 36804 Ph: (334) 737-5557 | Beauregard Clinic 7667 Alabama Hwy 51 Suite B Opelika AL 36804 Ph: (334) 737-5557 |
| NPI Number | 1265687818 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 1052473162 |
|---|---|
| Medicare Enrollment ID | O20081226000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265687818 | NPI | - | NPPES |
| 51595037 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO866 (Alabama) | Primary |
| Provider Name | Martin G Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043316466 PECOS PAC ID: 2860469392 Enrollment ID: I20041104000809 |
| Provider Name | Keli S Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255771895 PECOS PAC ID: 7810131489 Enrollment ID: I20130920000550 |
| Provider Name | Katherine Allen Gamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124417159 PECOS PAC ID: 5890006787 Enrollment ID: I20150618001928 |
| Provider Name | Courtney M Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891461638 PECOS PAC ID: 6608265392 Enrollment ID: I20211118002077 |
Hndt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2609 Village Professional Dr, Suite 3, Opelika, AL 36801 Phone: 334-749-6523 Fax: 334-742-0242 | |
East Alabama Medical Development Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-705-1822 Fax: 334-705-1407 | |
Beauregard Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7667 Al Highway 51 Ste B, Opelika, AL 36804 Phone: 334-707-7174 | |
Internal Medicine Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 N 20th St, #6, Opelika, AL 36801 Phone: 334-749-3385 Fax: 334-745-7672 | |
Aspire Integrative Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2202 Gateway Dr Ste D, Opelika, AL 36801 Phone: 334-203-1723 | |
Employee Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Waverly Pkwy, Opelika, AL 36801 Phone: 334-528-7200 Fax: 334-528-3478 |