Individual provider Active NPI

Phillip Conrad Lafleur, M.D.

  • Psychiatry Physician
  • Lafayette, LA
National Provider Identifier
1205912078
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
06560R Issued in LA
Practice address
913 S College Rd
Suite 204
Lafayette, LA 70503-3060
Phone
(337) 232-2833
Fax
(334) 234-4038
NPI assigned
Oct 27, 2006
Last updated
Jan 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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 06560R LA Primary

Addresses

Primary practice location

913 S College Rd
Suite 204
Lafayette, LA 70503-3060

Mailing address

913 S College Rd
Suite 204
Lafayette, LA 70503-3060
Phone (337) 232-2833

Other identifiers 1

IdentifierTypeStateIssuer
1348678MedicaidLA

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
I20110627000526 LA Practitioner - PsychiatryPractitioner - Other (Physician) 2163600974 Reassigns benefits to 1 organization
Practice locations: Lafayette, LA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in Shreveport, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vermilion Hospital LLCGroup PAC ID 7214940139, 2 clinicians

Practice addresses (Care Compare)

2520 N University Ave
Lafayette, LA 70507-5306
Phone (337) 234-5614

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06560RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vermilion Hospital LLC Psychiatry CurrentSince Apr 1, 2016 Accepting new patients
Vermilion Hospital, LLC CurrentSince Apr 1, 2016 Accepting new patients
B & L Management Co. of Lafayette, Inc. Psychiatry Past Accepting new patients

Locations

2520 N University Ave
Lafayette, LA 70507
Phone (337) 234-5614

913 S College Rd
Lafayette, LA 70503
Phone (337) 234-5344

913 S College Rd
Ste 204
Lafayette, LA 70503
Phone (318) 232-2833

Organizations & group practices 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1205912078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "address_2": "SUITE 204",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-232-2833",
            "fax_number": "334-234-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "address_2": "SUITE 204",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-232-2833",
            "fax_number": "334-234-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFLEUR",
        "first_name": "PHILLIP",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "06560R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348678",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.