Jacques D. Beveridge MD, Inc.

Jacques D. Beveridge MD, Inc. is a healthcare organization registered as Obstetrics & Gynecology Physician in Lander, WY, holding Type 2 (organization) NPI 1114057080 since 2007. The authorized official on file is Frederick Zebroski, Manager.

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NPI	1114057080
Entity type	Organization (Type 2)
Legal business name	Jacques D. Beveridge MD, Inc.
Practice address	1460 MAIN ST, SUITE B, Lander, WY, 82520
Phone	3073322223
Enumeration date	2007-03-07
Last updated in NPPES	2007-10-24

Authorized official

Name	Frederick Zebroski
Title	Manager
Phone	3073322223

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
367A00000X	Advanced Practice Midwife	Secondary	8746.0044	WY
207V00000X	Obstetrics & Gynecology Physician	Primary	6275A	WY

Copy-ready billing details

Provider: Jacques D. Beveridge MD, Inc.
NPI: 1114057080
Taxonomy: 207V00000X (Obstetrics & Gynecology Physician)
Address: 1460 MAIN ST, SUITE B, Lander, WY, 82520

Providers at this address

NPI	Name	Type	Specialty	Location
1669426292	Jacques D. Beveridge MD	Organization	Obstetrics & Gynecology Physician	Lander, WY
1902850464	Ruth Zebroski	Individual	Women's Health Nurse Practitioner	Lander, WY
1467499244	Patricia Declue	Individual	Family Nurse Practitioner	Lander, WY
1871623124	Popo Agie Women'S Clinic, Inc	Organization	Adult Health Nurse Practitioner	Lander, WY

Verify this record

Cross-check NPI 1114057080 against the authoritative CMS record: view Jacques D. Beveridge MD, Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Jacques D. Beveridge MD, Inc. located?

The practice location on file with NPPES is in Lander, WY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-24. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-24.