Active NPI
Bertha H Daniels, MD
- Family Medicine Physician
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 023621
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1482731 | Medicaid | LA |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| New Orleans Physician Services Inc | Family Medicine | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Jo Ellen Smith Convalescent Center | 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.
-
dba Jo Ellen Smith Convalescent Center
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1699147694
Adp of the SNF
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.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
Family Medicine
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1417966193
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
dba Jo Ellen Smith Convalescent Center
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1699147694
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jo Ellen Smith Convalescent Center
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1699147694
Nursing home
-
dba West Jefferson Medical Center
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.