Active NPI
John Bradford Carlin, MD
- Anesthesiology Physician
- Lake Charles, LA
National Provider Identifier
1023082104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20115
- Practice address
- 424 W McNeese St
Lake Charles, LA 70605-5547 - Phone
- (337) 478-0511
- Fax
- (337) 478-5644
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20115 | LA | Primary |
Addresses
Primary practice location
424 W McNeese St
Lake Charles, LA 70605-5547
Mailing address
424 W McNeese St
Lake Charles, LA 70605-5547
Phone (337) 478-0511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1963526 | Medicaid | LA | |
| 050025305 | Other | LA | RAILROAD MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20115 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1023082104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 W MCNEESE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055547",
"telephone_number": "337-478-0511",
"fax_number": "337-478-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W MCNEESE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055547",
"telephone_number": "337-478-0511",
"fax_number": "337-478-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLIN",
"first_name": "JOHN",
"middle_name": "BRADFORD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "20115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1963526",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "050025305",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.