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

Charles Ives Beaudette, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164657953

Charles Ives Beaudette, MD is a Student in an Organized Health Care Education/Training Program in Va Beach, Virginia. Licensed in New York and Virginia. Registered with an NPI since 2009.

Licensed in
NY, VA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4092 Foxwood Dr Ste 101
Va Beach, VA 23462-5225
Phone: (757) 686-3508
Fax: (757) 686-0541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101255172 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 265337 (NY)

Record details

NPI number1164657953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESNovember 17, 2015

Other providers in Va Beach