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BEAUMONT KIDNEY SPECIALISTS, PA
NPI 1730433038
Internal Medicine - Nephrology in Beaumont, TX

Active since November 08, 2012
2965 HARRISON STREET, SUITE 317, BEAUMONT, TX 77702(409) 554-0911(409) 554-0912 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beaumont Kidney Specialists, Pa NPPES

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

BEAUMONT KIDNEY SPECIALISTS, PA (NPI 1730433038) is a healthcare organization registered as a nephrology in Beaumont, Texas and active in the NPI registry since November 2012. The organization lists Raymond Derderian, Owner, as its authorized official.

NPPES Registry Identity

NPI1730433038
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBEAUMONT KIDNEY SPECIALISTS, PA
Location Address2965 HARRISON STREET, SUITE 317Beaumont, TX 77702-1150
Mailing Address2965 Harrison Street, Suite 317Beaumont, TX 77702-1150 · (409) 554-0911 · Fax (409) 554-0912
Phone(409) 554-0911
Fax(409) 554-0912
Organization SubpartNo
Authorized OfficialRaymond DerderianOwner · (409) 554-0911
Enumeration DateNovember 8, 2012
✔ NPI 1730433038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2965 HARRISON STREET, SUITE 317, Beaumont, TX 77702
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kidney Specialists, PA's NPI number?

The NPI number for Beaumont Kidney Specialists, PA is 1730433038. It was assigned to this organization in the NPPES registry on November 8, 2012.

Where is Beaumont Kidney Specialists, PA located?

Beaumont Kidney Specialists, PA is located at 2965 Harrison Street, Suite 317, Beaumont, TX 77702. The listed phone number is (409) 554-0911.

What is Beaumont Kidney Specialists, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Beaumont Kidney Specialists, PA was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.