Organization Active NPI

Southwest Neurosurgical and Spine Center LLC

  • Specialist
  • Lafayette, LA
National Provider Identifier
1114106200
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200912 Issued in LA
Legal business name
SOUTHWEST NEUROSURGICAL AND SPINE CENTER LLC
Practice address
2730 Ambassador Caffery Pkwy
Suite 202a
Lafayette, LA 70506-5904
Phone
(337) 257-8333
NPI assigned
Oct 25, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Curtis Lee Beauregard, M.D.NPI 1730158627
Title
President
Phone
(337) 257-8333

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
Specialist 174400000X 200912 LA Primary

Addresses

Primary practice location

2730 Ambassador Caffery Pkwy
Suite 202a
Lafayette, LA 70506-5904

Mailing address

2730 Ambassador Caffery Pkwy
Suite 202a
Lafayette, LA 70506-5904

National Provider Directory

National Provider Directory

Locations

2730 Ambassador Caffery Pkwy
Ste 202A
Lafayette, LA 70506
Phone (337) 257-8333

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1114106200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 202A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 202A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065904",
            "telephone_number": "337-257-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROSURGICAL AND SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BEAUREGARD",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-257-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "200912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.