Jason Breaux
SOUTHERN UROLOGY, LLC


Address: 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Phone: 3377697779

Jason Breaux (NPI# 1619167517, PAC ID# 8820163637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1619167517
PAC ID by PECOS 8820163637
Professional Enrollment ID I20100908000502
Full Name Jason Breaux
Organization Legal Name SOUTHERN UROLOGY, LLC
Address 120 Rue Louis Xiv
Lafayette
LA 70508-5739
Phone Number 3377697779
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 2003
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 5597833772
Number of Group Practice Members 25
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190102 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
190002 LAFAYETTE GENERAL MEDICAL CENTER
190255 PARK PLACE SURGICAL HOSPITAL
190064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
191302 ST MARTIN HOSPITAL

Other Locations

Address Phone Organization
120 Rue Louis Xiv, Lafayette, LA 70508-5739 3377697779 SOUTHERN UROLOGY, LLC

Organization Information

Organization Legal Name SOUTHERN UROLOGY, LLC
Physicians 24

Physicians with the same organization

Name Specialty Organization Address
Laura Gamble Owens Urology Southern Urology, LLC 1926 S Union St, Opelousas, LA 70570-5725
Scott Neusetzer Urology Southern Urology, LLC 1016 Coolidge Blvd, Lafayette, LA 70503-2436
Marcel Lahaye Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Frank R Bacque Urology Southern Urology, LLC 602 Saint Landry St, Lafayette, LA 70506-4628
Samuel H Shuffler Urology Southern Urology, LLC 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460
Jason Bourque Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
William B Roth Urology Southern Urology, LLC 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460
Jacob Edward Landry General Surgery Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
David A Jones Radiation Oncology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jeffrey J Thibodeaux Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739

Office Location

Street Address 120 RUE LOUIS XIV
City LAFAYETTE
State LA
Zip 70508-5739

Physicians in the same location

Name Specialty Organization Address
Marcel Lahaye Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jason Bourque Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jacob Edward Landry General Surgery Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
David A Jones Radiation Oncology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jeffrey J Thibodeaux Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Donna W Kasper Nurse Practitioner Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jason Shumadine Radiation Oncology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Christopher Paul Fontenot Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
John P Vallee Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jill Hill Nurse Practitioner Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
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Physicians in the same zip code

Name Specialty Organization Address
Jason W Prevost Chiropractic 2111 W Pinhook Rd A, Integrated Health, Lafayette, LA 70508-1504
Kimberly V Hull Nurse Practitioner Lhc Physician Services, LLC 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511
Roseanna Laporte Nurse Practitioner Lhc Physician Services, LLC 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511
Mia H Rabalais Nurse Practitioner Lhc Physician Services, LLC 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511
Simone L Babineaux Nurse Practitioner Lhc Physician Services, LLC 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511
Jayson A Thornhill Nurse Practitioner Lhc Physician Services, LLC 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511
Casey A Robinson Clinical Social Worker 200 La Rue France, Suite 101, Lafayette, LA 70508-3104
Rachel Lacy Broussard Clinical Social Worker 200 La Rue France, Lafayette, LA 70508-3104
Joshua G Bailey Chiropractic Pinhook Chiropractic Clinic LLC 100 La Rue France, Lafayette, LA 70508-3112
Brad A Grizzaffi Chiropractic Pinhook Chiropractic Clinic LLC 100 La Rue France, Lafayette, LA 70508-3112
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Competitor

Search similar physicians

City LAFAYETTE
Zip Code 70508
Specialty GENERAL SURGERY
City + Specialty LAFAYETTE + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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