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BEAUREGARD PHYSICIAN GROUP, LLC
NPI 1780814756
Clinic/Center - Podiatric in Deridder, LA

Active since July 23, 2009
600 S PINE ST, DERIDDER, LA 70634(337) 462-7106(337) 462-7479 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2025, Apr 13, 2017 (2 updates tracked since 2017).

About Beauregard Physician Group, Llc NPPES

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

BEAUREGARD PHYSICIAN GROUP, LLC (NPI 1780814756) is a healthcare organization registered as a podiatric in Deridder, Louisiana and active in the NPI registry since July 2009. The organization lists Jarred Veillon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780814756
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameBEAUREGARD PHYSICIAN GROUP, LLC
Location Address600 S PINE STDeridder, LA 70634-4942
Mailing AddressPo Box 730Deridder, LA 70634-0730 · (337) 462-7106 · Fax (337) 462-7479
Phone(337) 462-7106
Fax(337) 462-7479
Organization SubpartYesParent: West Louisiana Health Services, Inc
Authorized OfficialJarred VeillonCfo · (337) 462-7409
Enumeration DateJuly 23, 2009
Last NPPES UpdateJune 7, 20252 updates tracked since enumeration
NPPES CertifiedJune 7, 2025
✔ NPI 1780814756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD.09850R (LA)
600 S PINE ST, Deridder, LA 70634
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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

Other Providers at the Same Location NPPES 20

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

ANNA REUBER
Nurse Practitioner
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100
JOHN ERROL MCMILLAN MD
Emergency Medicine
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (800) 893-9698
WEST LOUISIANA HEALTH SERVICES INC
Obstetrics & Gynecology
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7409
BEAUREGARD - VERNON MRI LLC
Physiological Laboratory
600 S PINE ST, MRI SUITE
DERIDDER, LA 70634
Beauregard Parish (337) 462-9946
BEAUREGARD MEMORIAL HOSPITAL EMERGENCY ROOM PHYSICIANS
General Acute Care Hospital (Rural)
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100
MRS. AMANDA LEIGH HARRELL F.N.P.-C
Nurse Practitioner (Family)
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100
TATE FAZIO CRNA
Nurse Anesthetist, Certified Registered
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 401-5253
WEST LOUISIANA HEALTH SERVICES INC
Pathology (Clinical Pathology/Laboratory Medicine)
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100

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 Beauregard Physician Group, LLC's NPI number?

The NPI number for Beauregard Physician Group, LLC is 1780814756. It was assigned to this organization in the NPPES registry on July 23, 2009.

Where is Beauregard Physician Group, LLC located?

Beauregard Physician Group, LLC is located at 600 S Pine St, Deridder, LA 70634. The listed phone number is (337) 462-7106.

What is Beauregard Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Beauregard Physician Group, LLC was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.