Eric Earl Cousin, SURFACE IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

123 Intrepid Dr
Belle Chasse, LA 70037-1358

Phone

(504) 391-3643

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336129659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 INTREPID DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371358",
            "telephone_number": "504-391-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 INTREPID DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371358",
            "telephone_number": "504-391-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSIN",
        "first_name": "ERIC",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "SURFACE IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Haven LLC
• Elizabeth Fontenelle Chisolm, LPC
• Maria Patricia Clark
• Mark Collier, FNP
• Catherine Dove Colvin
• Ashley Couvillion Maxwell
• Kaitlyn Ruby Craft, PLPC
• Crescentcare, Inc.
• Armand Daigle
• Scott W Delahoussaye, PT

• Independent Duty Corpsman in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• Independent Duty Corpsman in Louisiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.