Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK G. BEAULIEU M.D.
NPI 1528064086
Orthopaedic Surgery in Cape Coral, FL

Active since June 21, 2005
657 DEL PRADO BLVD S, CAPE CORAL, FL 33990(239) 772-4484(239) 772-2903 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack G. Beaulieu M.d. NPPES

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

JACK G. BEAULIEU M.D. (NPI 1528064086) is an individual orthopaedic surgery provider in Cape Coral, Florida, licensed in Florida (ME 0029197) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1528064086
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJACK G. BEAULIEUCredential: M.D.
Location Address657 DEL PRADO BLVD SCape Coral, FL 33990-2666
Mailing Address657 Del Prado Blvd SCape Coral, FL 33990-2666 · (239) 772-4484 · Fax (239) 772-2903
Fax(239) 772-2903
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1528064086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME 0029197
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
657 DEL PRADO BLVD S, Cape Coral, FL 33990

Other Identifiers 1

Other79304FL · B/c B/s Florida Insurance

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Orthopaedic Surgery
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Orthopaedic Surgery
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Orthopaedic Surgery
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Orthopaedic Surgery
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Orthopaedic Surgery
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Physician Assistant
657 DEL PRADO BLVD S
CAPE CORAL, FL 33990

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 Jack Beaulieu's NPI number?

The NPI number for Jack Beaulieu is 1528064086. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Jack Beaulieu located?

Jack Beaulieu practices at 657 Del Prado Blvd S, Cape Coral, FL 33990. The listed phone number is (239) 772-4484.

What is Jack Beaulieu's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Jack Beaulieu was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.