SOUTHSIDE PEDIATRICS. A.P.M.C. (NPI# 1609334390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609334390 |
Entity Type | Organization |
Organization Name | SOUTHSIDE PEDIATRICS. A.P.M.C. |
Practice Address |
811 Albertson Pkwy Ste A Broussard LA 70518-5256 |
Practice Telephone | 3378392238 |
Mailing Telephone | 3378392238 |
Enumeration Date | 2019-03-12 |
Last Update Date | 2019-03-12 |
Authorized Official Name | DR. CARLOS BRUNO (PRESIDENT) |
Authorized Official Telephone | 3378392238 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Street Address |
811 ALBERTSON PKWY STE A |
City | BROUSSARD |
State | LA |
Zip Code | 70518-5256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
1578978664 | .tammy Richert | Durable Medical Equipment & Medical Supplies | 202 W Fairfield Dr, Broussard, LA 70518 | 2014-06-26 |
1104144245 | Brad Joseph Fanguy | Pharmacist | 102 Bentwater Dr, Broussard, LA 70518 | 2010-05-13 |
1891948642 | Dick Steven Guillory | General Practice | 805 Albertson Pkwy Ste C, Broussard, LA 70518 | 2008-10-24 |
1235381575 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 207 Roto Park Drive, Broussard, LA 70518 | 2008-10-17 |
1669685087 | Alison Mcclendon Charpentier | Speech-Language Pathologist | 115 Still Waters Rd., Broussard, LA 70518 | 2007-05-08 |
1174561526 | Inzerella Physical Therapy | Physical Therapist | 803 South Morgan Ave, Broussard, LA 70518 | 2006-06-04 |
1851341432 | Oceans Behavioral Hospital of Lafayette LLC | Psychiatric Hospital | 418 Albertson Parkway, Broussard, LA 70518 | 2006-05-12 |
1023068335 | Louisiana Guest House LLC | Skilled Nursing Facility | 418 Albertsons Parkway, Broussard, LA 70518 | 2006-05-10 |
1124084520 | Glenn Charles Lafleur | Family Medicine | 317 Opus One Dr, Broussard, LA 70518 | 2006-04-25 |
Find all providers in zip 70518 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922219674 | Kelli M Cocke | Pediatrics | 6800 Ambassador Caffery Pkwy, Broussard, LA 70518-4999 | 2007-05-24 |
1538153135 | Carlos A Bruno | Pediatrics | 811 Albertson Pkwy, Suite A, Broussard, LA 70518-5256 | 2005-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679182968 | Can Do Kids Pediatric Therapy Services | Pediatrics | 613 Simpson St, Benton, LA 71006-8314 | 2020-07-23 |
1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
1689290603 | Impact Physician Group, Pediatrics LLC | Pediatrics | 2720 Rue De Jardin Ste 100, Lake Charles, LA 70605-4050 | 2020-06-25 |
1336632728 | Megan Michel Rabalais | Pediatrics | 7777 Hennessy Blvd # 6004, Baton Rouge, LA 70808-4300 | 2018-06-11 |
1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
1508380197 | Hospital Service District 1 of East Baton Rouge Parish | Pediatrics | 6110 Main St Ste B, Zachary, LA 70791-4079 | 2017-07-26 |
1457873572 | All Hours Pediatrics | Pediatrics | 2645 Oneal Ln Bldg C-a, Baton Rouge, LA 70816-3179 | 2017-07-11 |
1881122778 | Uchechukwu Ray Eke | Pediatrics | 7777 Hennessy Blvd Ste 6004, Baton Rouge, LA 70808-4300 | 2017-05-23 |
1679007298 | Melissa Holland | Pediatrics | 8415 Goodwood Blvd Ste 100, Baton Rouge, LA 70806-7851 | 2017-04-20 |
1538692991 | Latasha Henderson | Pediatrics | 311 Veterans Blvd Ste B, Denham Springs, LA 70726-4726 | 2017-04-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.