Individual provider Active NPI

Brett Jude Duplantis, PAC

  • Physician Assistant
  • Cut Off, LA
National Provider Identifier
1073660676
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.A10594.RX Issued in LA
Practice address
144 W 134TH St
Cut Off, LA 70345-4155
Phone
(985) 632-8367
Fax
(985) 632-7526
NPI assigned
Jan 4, 2007
Last updated
Aug 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.A10594.RX LA Primary

Addresses

Primary practice location

144 W 134TH St
Cut Off, LA 70345-4155

Mailing address

144 W 134TH St
Cut Off, LA 70345-4155
Phone (985) 632-8367

Other identifiers 1

IdentifierTypeStateIssuer
1625880MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000725 LA Practitioner - Physician Assistant 6901889203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

144 W 134TH PL
Cut Off, LA 70345-4128
Phone (985) 632-6233

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lafourche Parish Hospital Service District No. 1 PastSince Jan 1, 1990 Accepting new patients
Lafourche Parish Hospital Service District No. 1 PastSince Jan 1, 1990 Accepting new patients
Lafourche Parish Hospital Service District No.1 PastSince Jan 1, 1990 Accepting new patients
Lafourche Parish Hospital Service District No. 1 PastSince Jan 1, 1990 Accepting new patients
Lafourche Parish Hospital Service District No.1 PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brett.duplantis.3@748.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1073660676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 134TH ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703454155",
            "telephone_number": "985-632-8367",
            "fax_number": "985-632-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 134TH ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703454155",
            "telephone_number": "985-632-8367",
            "fax_number": "985-632-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLANTIS",
        "first_name": "BRETT",
        "middle_name": "JUDE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10594.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625880",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cut Off, LA

Sources for this page

Verify at the official NPI Registry.