Active NPI
Bennie Peter Nobles Jr., MD
- Obstetrics & Gynecology Physician
- Metairie, LA
National Provider Identifier
1023061264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD011582
- Practice address
- 4228 Houma Blvd
Ste 410
Metairie, LA 70006-3021 - Phone
- (504) 883-3770
- Fax
- (504) 883-3711
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD011582 | LA | Primary |
Addresses
Primary practice location
4228 Houma Blvd
Ste 410
Metairie, LA 70006-3021
Mailing address
4228 Houma Blvd
Ste 410
Metairie, LA 70006-3021
Phone (504) 883-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1149543 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD011582 | LA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1023061264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 HOUMA BLVD",
"address_2": "STE 410",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700063021",
"telephone_number": "504-883-3770",
"fax_number": "504-883-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4228 HOUMA BLVD",
"address_2": "STE 410",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700063021",
"telephone_number": "504-883-3770",
"fax_number": "504-883-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES",
"first_name": "BENNIE",
"middle_name": "PETER",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD011582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1149543",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.