Individual provider Active NPI

Blaine Edward Lavergne, M.D.

  • Family Medicine Physician
  • Bunkie, LA
National Provider Identifier
1184657496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.021983 Issued in LA
Practice address
510 Cottonwood St
Bunkie, LA 71322
Phone
(318) 346-3338
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.021983 LA Primary

Addresses

Primary practice location

510 Cottonwood St
Bunkie, LA 71322

Mailing address

PO Box 380
Bunkie, LA 71322-0380
Phone (318) 346-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050513000468 LA Practitioner - Emergency MedicinePractitioner - Family Practice 0547201188 Reassigns benefits to 9 organizations
I20190409002573 TX Practitioner - Family Practice 0547201188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Martin Emergency Group LLCGroup PAC ID 0840444683, 20 clinicians
Congress Emergency Group LLCGroup PAC ID 1557580354, 16 clinicians

Practice addresses (Care Compare)

210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 332-2178

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96 of 100Reported as group
Quality
78.84
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince May 10, 2019 Accepting new patients
Emergency Group of St Landry LLC CurrentSince Aug 21, 2010 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana CurrentSince Aug 1, 2006 Accepting new patients
Vermilion Emergency Group LLC CurrentSince Apr 1, 2011 Accepting new patients
Acadiana Acute Care Associates, LLC CurrentSince Aug 1, 2019 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana Current Accepting new patients
Emergency Staffing Solutions Inc CurrentSince May 10, 2010 Accepting new patients
St Martin Physician Services LLC CurrentSince Aug 10, 2015 Accepting new patients
St Martin Emergency Group LLC CurrentSince Jan 15, 2013 Accepting new patients
Oakdale Ess LLC CurrentSince Jan 31, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 10, 2019 Accepting new patients
Congress Emergency Group LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041

200 Corporate Blvd
Lafayette, LA 70508

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

Organizations & group practices 12

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 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184657496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713220380",
            "telephone_number": "318-346-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 COTTONWOOD ST",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "71322",
            "telephone_number": "318-346-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERGNE",
        "first_name": "BLAINE",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.021983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunkie, LA

Sources for this page

Verify at the official NPI Registry.