BEAUMONT DERMATOLOGY & FAMILY PRACTICE, LLP
NPI 1225133002
Family Medicine in Beaumont, TX

Active since September 14, 2006CLIA 45D1024613 · Waiver
3030 NORTH ST, SUITE 430, BEAUMONT, TX 77702(409) 899-2500(409) 898-7579 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2018, Mar 21, 2017, Jan 17, 2017 (3 updates tracked since 2017).

About Beaumont Dermatology & Family Practice, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUMONT DERMATOLOGY & FAMILY PRACTICE, LLP (NPI 1225133002) is a healthcare organization registered as a family medicine in Beaumont, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Sidney A. Marchand, Owner, as its authorized official.

NPPES Registry Identity

NPI1225133002
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAUMONT DERMATOLOGY & FAMILY PRACTICE, LLP
Location Address3030 NORTH ST, SUITE 430Beaumont, TX 77702-1433
Mailing Address3030 North St, Suite 430Beaumont, TX 77702-1433 · (409) 899-2500 · Fax (409) 898-7579
Fax(409) 898-7579
Organization SubpartNo
Authorized OfficialSidney A. MarchandOwner · (409) 899-2500
Enumeration DateSeptember 14, 2006
Last NPPES UpdateDecember 12, 20183 updates tracked since enumeration
✔ NPI 1225133002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDermatologyTaxonomy 207N00000X
3030 NORTH ST, Beaumont, TX 77702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaumont Dermatology & Family Practice, Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Beaumont Dermatology & Family Practice, LLP, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1114020708
3030 NORTH ST SUITE 430
Beaumont, TX 77702
(409) 899-2500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1376553685
3030 NORTH ST SUITE 430
Beaumont, TX 77702
(409) 899-2500
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1295926574
3030 NORTH ST SUITE 430 (BEAUMONT DERMATOLOGY & FAMILY PRACTICE)
Beaumont, TX 77702
(409) 899-2500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1024613

Beaumont Dermatology And Family Practice LLP · Beaumont, TX
Active · expires Dec 28, 2026
CLIA Number45D1024613
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorSidney A. Marchand
Laboratory Phone(409) 899-2500
Laboratory LocationBeaumont Dermatology And Family Practice LLP3030 North Street Suite 430, Beaumont, TX 77702
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaumont Dermatology & Family Practice, LLP's NPI number?

The NPI number for Beaumont Dermatology & Family Practice, LLP is 1225133002. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Beaumont Dermatology & Family Practice, LLP located?

Beaumont Dermatology & Family Practice, LLP is located at 3030 North St Suite 430, Beaumont, TX 77702. The listed phone number is (409) 899-2500.

What is Beaumont Dermatology & Family Practice, LLP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Beaumont Dermatology & Family Practice, LLP enrolled in Medicare?

Yes. Beaumont Dermatology & Family Practice, LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaumont Dermatology & Family Practice, LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Beaumont Dermatology & Family Practice, LLP, in Dermatology and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beaumont Dermatology & Family Practice, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1024613) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaumont Dermatology & Family Practice, LLP accept?

Health plans from WellPoint list Beaumont Dermatology & Family Practice, LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaumont Dermatology & Family Practice, LLP was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.