Active NPI
Brennan Joseph Thibodeaux, PA
- Physician Assistant
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 334149
- Practice address
- 726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051 - Phone
- (985) 625-2200
- NPI assigned
- Nov 9, 2022
- Last updated
- Apr 24, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 334149 | LA | Primary |
Addresses
Primary practice location
726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051
Mailing address
PO Box 28
Thibodaux, LA 70302-0028
Phone (985) 492-1203
Other practice location 1
104 Medical Center Dr
Slidell, LA 70461-5575
Phone (985) 646-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Louisiana State University School of Medicine in Shreveport, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 646-5055
1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970
104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470
71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Hospital Service District No. 1 of the Parish of St. Mary | Current | Accepting new patients | |
| Orthopaedic Sports Specialists of Louisiana LLC | Current | Accepting new patients | |
| Hospital Service District No. 1 of the Parish of St. Mary | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients |
Locations
1029 Northwest Blvd
Franklin, LA 70538
Phone (337) 366-6004
1105 Northwest Blvd
Franklin, LA 70538
Phone (337) 828-9729
200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102
180 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301
Interoperability endpoints
- bthibodeaux2418614@direct.ochsner.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Bayou Bend Health System
- Surgery Physician
- Franklin, LA
- NPI 1699895953
-
dba OrthoLA
- Orthopaedic Surgery Physician
- Thibodaux, LA
- NPI 1316146228
-
dba Bayou Bend Health System
- Medicare Defined Swing Bed Hospital Unit
- Franklin, LA
- NPI 1083753610
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner After Hours and Urgent Care - Mandeville
- General Practice Physician
- Mandeville, LA
- NPI 1972736619
-
dba Ochsner - Slidell Ortho NSB
- General Practice Physician
- Slidell, LA
- NPI 1639441314
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
dba Ochsner Medical Center - Hancock
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1073221917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703020028",
"telephone_number": "985-492-1203",
"fax_number": "985-492-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 N ACADIA RD STE 1000",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703015051",
"telephone_number": "985-625-2200"
}
],
"practiceLocations": [
{
"address_1": "104 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704615575",
"country_code": "US",
"telephone_number": "985-646-5550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIBODEAUX",
"first_name": "BRENNAN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-09",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "334149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.