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NPI 1164430906
● Active Type 2 · Organization
Beaumont Internal Medicine & Geriatric Assoc.
Internal Medicine · Beaumont, TX · NPI 1164430906
·
Enumerated 2006 · 19 years on NPI
Beaumont Internal Medicine & Geriatric Assoc. is 1 of 377 internal medicine organizations in Texas.
NPI age
19 years
Enumerated 2006-08-04
Primary specialty
Internal Medicine
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Soberon
President
Last NPPES update
2025-12-31
Source: monthly bulk 2026-05
How this organization compares
Across 377 active internal medicine providers in Texas.
NPI age
19 years
≈ at median (18 yr)
Practice locations
3
2 secondary on file
NPI lifetime · 2006 → 2026
2006-08 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
755 N 11th St, P-5200
Beaumont, TX 777021501
📞 4098982994 fax 4098995542
Mailing address
755 N 11th St, P-5200
Beaumont, TX 777021501
📞 4098982994 fax 4098995542
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
740 Hospital Dr Ste 160
Beaumont, TX 777014663
📞 4098982994
Location 3
3129 College St Ste 100
Beaumont, TX 777014682
📞 4098982994
Authorized official
Santos Marcelo Soberon, M.D.
President
📞 4098982994
Individual providers at this organization
20 individual providers on file at this primary practice address.
Douglas Bakeler , CRNA
Nurse Anesthetist, Certified Registered
NPI 1467690404
Lauren Barrera , FNP-C
Nurse Practitioner
NPI 1689076549
Robert Berndt , M.D.
Anesthesiology
NPI 1427044007
Maria Blahey , MD
Family Medicine
NPI 1053304725
James Bowling , D.O.
Anesthesiology
NPI 1295721561
Alfred Brady , M.D.
Internal Medicine
NPI 1841293909
Brian Broaddus , M.D.
Anesthesiology
NPI 1669634234
Joseph Brottem, CRNA
Nurse Anesthetist, Certified Registered
NPI 1467837088
Mary Butler , NP
Nurse Practitioner
NPI 1275826844
Gerald Callas , M.D.
Anesthesiology
NPI 1376538942
Jennifer Chambers , CRNA
Nurse Anesthetist, Certified Registered
NPI 1588644819
Derek Chambless , CRNA
Nurse Anesthetist, Certified Registered
NPI 1073798187
Christopher Cook , D.O.
Anesthesiology
NPI 1215192414
Garrett Cormie , CRNA
Nurse Anesthetist, Certified Registered
NPI 1760773170
Jason Crookshank , CRNA
Nurse Anesthetist, Certified Registered
NPI 1306003140
Kevin Dean , M.D., F.A.C.S.
Surgery
NPI 1730180373
Tripp Derouen , CRNA
Nurse Anesthetist, Certified Registered
NPI 1255578977
Sheila Devaugh , APRN
Nurse Practitioner
NPI 1083610224
Aaron Downs , CRNA
Nurse Anesthetist, Certified Registered
NPI 1497980221
Chad Dubois , CRNA
Nurse Anesthetist, Certified Registered
NPI 1497192314
Specialties
Internal Medicine
Primary
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the...
taxonomy 207RG0300X
Identifiers
Type Value Notes
05 (TX)
093730201
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Plus 2 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.