Individual provider Active NPI

Bertha H Daniels, MD

  • Family Medicine Physician
  • Gretna, LA
National Provider Identifier
1285620773
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023621 Issued in LA
Practice address
175 Hector Ave
Gretna, LA 70056-2590
Phone
(504) 349-6925
Fax
(504) 362-5310
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 023621 LA Primary

Addresses

Primary practice location

175 Hector Ave
Gretna, LA 70056-2590

Mailing address

1101 Medical Center Blvd
Attn: Heidi Gwinn
Marrero, LA 70072-3147
Phone (504) 349-1297

Other identifiers 1

IdentifierTypeStateIssuer
1482731MedicaidLA

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
I20100301000394 LA Practitioner - Family Practice 9931244035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

175 Hector Ave
Gretna, LA 70056-2590
Phone (504) 349-6925

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince May 1, 2018 Accepting new patients
New Orleans Physician Services Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince May 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Priority Group Holdings, L.L.C. Past Accepting new patients

Locations

2845 Manhattan Blvd
Harvey, LA 70058
Phone (504) 349-6930

3909 Lapalco Blvd
Ste 200
Harvey, LA 70058
Phone (504) 349-6216

3909 Lapalco Blvd
Ste 100
Harvey, LA 70058
Phone (504) 349-6900

1111 Medical Center Blvd
Ste S250
Marrero, LA 70072
Phone (504) 347-5511

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

200 Broadway St
Ste 230
New Orleans, LA 70118
Phone (504) 988-9000

175 Hector Ave
Terrytown, LA 70056
Phone (504) 349-6925

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jo Ellen Smith Convalescent CenterNew Orleans, LA, CCN 195204 Skilled nursing facility Adp of the SNF Apr 18, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285620773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "address_2": "ATTN: HEIDI GWINN",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1297",
            "fax_number": "504-349-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HECTOR AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562590",
            "telephone_number": "504-349-6925",
            "fax_number": "504-362-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "BERTHA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1482731",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.