Individual provider Active NPI

Frank R Bacque, M.D.

  • Specialist
  • Lafayette, LA
National Provider Identifier
1093794299
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
011987 Issued in LA
Practice address
602 Saint Landry St
Lafayette, LA 70506-4628
Phone
(337) 235-1200
Fax
(337) 237-1021
NPI assigned
Jan 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 011987 LA Primary

Addresses

Primary practice location

602 Saint Landry St
Lafayette, LA 70506-4628

Mailing address

602 Saint Landry St
Lafayette, LA 70506-4628
Phone (337) 235-1200

Other identifiers 1

IdentifierTypeStateIssuer
1308749MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000478 LA Practitioner - Urology 0840293551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in New Orleans, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Urology LLCGroup PAC ID 5597833772, 27 clinicians

Practice addresses (Care Compare)

602 Saint Landry St
Lafayette, LA 70506-4628
Phone (337) 235-1200

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
011987LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Urology LLC Urology CurrentSince Aug 1, 2008 Accepting new patients
Southern Urology, LLC Urology CurrentSince Aug 1, 2008 Accepting new patients

Locations

120 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 233-6665

602 Saint Landry St
Lafayette, LA 70506
Phone (337) 235-1200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093794299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064628",
            "telephone_number": "337-235-1200",
            "fax_number": "337-237-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SAINT LANDRY ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064628",
            "telephone_number": "337-235-1200",
            "fax_number": "337-237-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACQUE",
        "first_name": "FRANK",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "011987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308749",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.