Individual provider Active NPI

Gabriel Beadle, PA-C

  • Medical Physician Assistant
  • Morgan City, LA
National Provider Identifier
1235434556
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200402 Issued in LA
Practice address
1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1382
Phone
(985) 412-2020
Fax
(985) 259-8800
NPI assigned
Jan 18, 2011
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200402 LA Primary

Addresses

Primary practice location

1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1382

Mailing address

1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1382
Phone (985) 412-2020

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000012 LA Practitioner - Physician Assistant 4688831902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Morgan City LLCGroup PAC ID 3779894092, 4 clinicians

Practice addresses (Care Compare)

1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1456
Phone (985) 412-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan City Radiology, LLC Past Accepting new patients
Walter H. Daniels, M.D. a Professional Medical Corp. Past Accepting new patients

Organizations & group practices 5

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 1

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1235434556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 N VICTOR II BLVD",
            "address_2": "SUITE 500",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801382",
            "telephone_number": "985-412-2020",
            "fax_number": "985-259-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N VICTOR II BLVD",
            "address_2": "SUITE 500",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801382",
            "telephone_number": "985-412-2020",
            "fax_number": "985-259-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEADLE",
        "first_name": "GABRIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.