Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacques D. Beveridge MD, Inc

Organization Obstetrics & Gynecology Physician · NPI 1114057080

Jacques D. Beveridge MD, Inc is an Obstetrics & Gynecology Physician in Lander, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1460 Main St Ste B
Lander, WY 82520-2657
Phone: (307) 332-2223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 6275A (WY)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 8746.0044 (WY)

Record details

NPI number1114057080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Zebroski — Manager · (307) 332-2223
NPI enumeratedMarch 7, 2007
Last updated in NPPESOctober 24, 2007
Mailing address1460 Main St, Suite B, Lander, WY 82520-2657

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