Individual provider Active NPI

Anthony John Bouligny Sr., M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1326184581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
013653 Issued in LA
Practice address
701 Loyola Ave
Medical Unit RM 2008
New Orleans, LA 70113-1912
Phone
(504) 589-1174
Fax
(504) 589-1382
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 013653 LA Primary

Addresses

Primary practice location

701 Loyola Ave
Medical Unit RM 2008
New Orleans, LA 70113-1912

Mailing address

5459 Stillwater Dr
New Orleans, LA 70128-3412
Phone (504) 245-6374

Other identifiers 1

IdentifierTypeStateIssuer
1192783MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013653LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Family Health Center, Inc Past Accepting new patients
Contemporory Family Health Centers, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326184581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5459 STILLWATER DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283412",
            "telephone_number": "504-245-6374",
            "fax_number": "504-589-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LOYOLA AVE",
            "address_2": "MEDICAL UNIT RM 2008",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131912",
            "telephone_number": "504-589-1174",
            "fax_number": "504-589-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULIGNY",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "013653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1192783",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.