Libeau Joseph Berthelot, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

013196 Issued in LA

Practice address

82525 Highway 25
Folsom, LA 70437-6111

Phone

(985) 839-9895

Fax

(985) 839-9884

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  NPD
• St. Tammany Parish Hospital Service District No 1

  • Family Medicine Physician
  • Folsom, LA
  • NPI 1275539363

  Family Medicine

  NPD
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1023039476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54482",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544482",
            "telephone_number": "985-839-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82525 HIGHWAY 25",
            "city": "FOLSOM",
            "state": "LA",
            "postal_code": "704376111",
            "telephone_number": "985-839-9895",
            "fax_number": "985-839-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHELOT",
        "first_name": "LIBEAU",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "013196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300624",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly S Bennett
• Kathryn Bernier, PHARMD
• Robin Williams Bickham, LMSW
• Lacee Blady, RN
• Richard Alan Blocker, PHD
• Victoria Reyes Blossman, DO
• Robert Brinkman II, M.D.

• All providers in Folsom, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.