Robert Lee Bordelon III, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN095750 AP06670 Issued in LA

Practice address

4045 Scenic Hwy
Baton Rouge, LA 70805-4860

Phone

(225) 977-6440

Fax

(225) 977-6342

NPI assigned

Aug 23, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1154755460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 SCENIC HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708054860",
            "telephone_number": "225-977-6440",
            "fax_number": "225-977-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 SCENIC HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708054860",
            "telephone_number": "225-977-6440",
            "fax_number": "225-977-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN095750 AP06670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Bordelon
• Nicole Michelle Bordelon, PA-C
• Paul Antoine Bordelon, RPH
• Richard Joseph Bordelon, R.PH.
• Riley Bordelon, PA
• Steven K Bordelon, LCSW
• Bordelons Super Save Inc
• Kitzia B Bordlee, LCSW
• Barry Lawrence Bordonaro, M.D.
• Armand Bennett Borel, ATP

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.