BEAU DAVID BOUDREAUX (NPI# 1972895886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972895886 |
| Entity Type | Individual |
| Full Name | BEAU DAVID BOUDREAUX |
| Credential | M.D. |
| Practice Address |
726 N Acadia Rd Ste 3400 Thibodaux LA 70301-5009 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854494656 |
| Mailing Telephone | (985) 449-4656 |
| Mailing Fax Number | 9854492532 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD.207047 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD.207047 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2153200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1542 Tulane Ave, Mail Box T4m-2, New Orleans, LA 701122865 | 5045684498 | 5045682127 |
| Street Address |
726 N ACADIA RD STE 3400 |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447693619 | Ross J Thibodaux | Internal Medicine | 726 N Acadia Rd Ste 3400, Thibodaux, LA 70301 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447693619 | Ross J Thibodaux | Internal Medicine | 726 N Acadia Rd Ste 3400, Thibodaux, LA 70301 | 2013-04-08 |
| 1083921944 | Thibodaux Regional Network Development Corporation | Internal Medicine | 726 N Acadia Rd, Ste 3400, Thibodaux, LA 70301-4847 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517762 | Center for Orthopaedics and Spine LLC | Internal Medicine | 4150 Nelson Rd Ste C11, Lake Charles, LA 70605-4133 | 2020-10-30 |
| 1710430749 | Cypress Pointe Physicians Network, LLC | Internal Medicine | 70325 Highway 1077, Covington, LA 70433-7836 | 2016-07-26 |
| 1508143942 | James M Belue, A Medical Corporation | Internal Medicine | 707 South Vienna Sreet, Ruston, LA 71270-5845 | 2011-11-14 |
| 1962794404 | Louisiana Arthritis and Rheumatology,llc | Internal Medicine | 457 Ashley Ridge Blvd Ste C, Shreveport, LA 71106-7229 | 2011-05-03 |
| 1609166313 | Magdalena Budziakowska | Internal Medicine | 4315 Houma Blvd Ste 303, Metairie, LA 70006-2944 | 2011-04-14 |
| 1245554278 | Jerry Wayne Pounds Jr. | Internal Medicine | 2633 Napoleon Ave Ste # 530, New Orleans, LA 70115 | 2010-03-19 |
| 1396904090 | Harmanjot Kaur Grewal | Internal Medicine | 7777 Hennessy Blvd Ste 501a, Baton Rouge, LA 70808 | 2008-06-06 |
| 1164612479 | Bobby James Dupre | Internal Medicine | 4463 La Highway 1 S, Suite A, Port Allen, LA 70767-5989 | 2007-08-01 |
| 1336339118 | Austin Michael Fraser | Internal Medicine | 2633 Napoleon Ave Ste 530, New Orleans, LA 70115-7424 | 2007-07-27 |
| 1235349580 | Mary Katherine Walton | Internal Medicine | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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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.