Organization Active NPI

BPH Enterprises, LLC

Doing business as Westside Family Medicine

  • Family Medicine Physician
  • Brusly, LA
National Provider Identifier
1043316631
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024237 Issued in LA
Legal business name
BPH ENTERPRISES, LLC
Doing business as
Westside Family Medicine
Practice address
402 N Vaughan St
Brusly, LA 70719-2225
Phone
(225) 749-2645
Fax
(225) 749-8216
NPI assigned
Sep 15, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Brian P Higgins, M.D.NPI 1982700571
Title
President
Phone
(225) 749-2645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 024237 LA Primary

Addresses

Primary practice location

402 N Vaughan St
Brusly, LA 70719-2225

Mailing address

402 N Vaughan St
Brusly, LA 70719-2225
Phone (225) 749-2645

Other names 1

  • WESTSIDE FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

402 N Vaughan Dr
Brusly, LA 70719
Phone (225) 749-2645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1043316631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N VAUGHAN ST",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192225",
            "telephone_number": "225-749-2645",
            "fax_number": "225-749-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N VAUGHAN ST",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192225",
            "telephone_number": "225-749-2645",
            "fax_number": "225-749-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPH ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-749-2645",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "024237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brusly, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.