Individual provider Active NPI

William B. Bisland Jr., MD

  • Surgery Physician
  • Thibodaux, LA
National Provider Identifier
1285824847
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
199936 Issued in LA
Practice address
604 N. Acadia Rd
Suite 207
Thibodaux, LA 70301
Phone
(985) 446-1763
Fax
(985) 446-9813
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 199936 LA Primary

Addresses

Primary practice location

604 N. Acadia Rd
Suite 207
Thibodaux, LA 70301

Mailing address

604 N. Acadia Rd
Suite 207
Thibodaux, LA 70301
Phone (985) 446-1763

Other identifiers 1

IdentifierTypeStateIssuer
1063339MedicaidLA

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
I20090820000037 LA Practitioner - General Surgery 6305905993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians
Thibodaux Surgical SpecialistsGroup PAC ID 8325075930, 3 clinicians

Practice addresses (Care Compare)

290 Bowie Rd
Suite a
Thibodaux, LA 70301-6712
Phone (985) 493-4140

604 N Acadia Rd
207 Barry G Landry MD AMC
Thibodaux, LA 70301-4847
Phone (985) 446-1763

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy18
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue51
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199936LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Surgery Current Accepting new patients
Ochsner Clinic LLC CurrentSince May 1, 2018 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Oct 1, 2025 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Oct 1, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince May 1, 2018 Accepting new patients
Thibodaux Surgical Specialists CurrentSince Aug 1, 2009 Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients
Mercy Physician Group Inc Surgery Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

141 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 447-3889

290 Bowie Rd
Ste A
Thibodaux, LA 70301
Phone (985) 493-4140

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

604 N Acadia Rd
Ste 207
Thibodaux, LA 70301
Phone (985) 446-1763

Interoperability endpoints

  • Direct secure messaging: wbisland@thibodauxsurgical.mdlogic.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1285824847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N. ACADIA RD",
            "address_2": "SUITE 207",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-1763",
            "fax_number": "985-446-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N. ACADIA RD",
            "address_2": "SUITE 207",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-1763",
            "fax_number": "985-446-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISLAND",
        "first_name": "WILLIAM",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "199936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063339",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.