Individual provider Active NPI

John Thomas Bardugon, MD, MPH

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1104029263
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.201392 Issued in LA
Practice address
Tulane University Hospital and Clinic
1415 Tulane Avenue
New Orleans, LA 70112
Phone
(504) 988-5800
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.201392 LA Primary

Addresses

Primary practice location

Tulane University Hospital and Clinic
1415 Tulane Avenue
New Orleans, LA 70112

Mailing address

1110 Robert St
New Orleans, LA 70115-2912
Phone (504) 710-5530

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
I20071204000783 LA Practitioner - PsychiatryPractitioner - Emergency Medicine 8022107697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

301 N Main St
Suite 2200
Baton Rouge, LA 70825-0014
Phone (833) 351-8255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Feb 24, 2025 Accepting new patients
Professional Emergency Physician Associates, LLC Past Accepting new patients

Locations

301 Main St
Ste 2200
Baton Rouge, LA 70801
Phone (225) 329-2337

3350 Ridgelake Dr
Ste 200
Metairie, LA 70002
Phone (504) 434-0017

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1104029263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ROBERT ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152912",
            "telephone_number": "504-710-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TULANE UNIVERSITY HOSPITAL AND CLINIC",
            "address_2": "1415 TULANE AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDUGON",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.201392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.