Bruce E Guidry, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12003 Issued in LA

Practice address

291 Liberty St
Houma, LA 70360-4423

Phone

(985) 868-7882

Fax

(985) 876-1700

NPI assigned

Mar 22, 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bguidry408159@direct.ochsner.org

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.

• Family Doctor Clinic Apmc

  • Family Medicine Physician
  • Houma, LA
  • NPI 1891894846
  Medicare reassignment NPD

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1356300727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604423",
            "telephone_number": "985-868-7882",
            "fax_number": "985-876-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604423",
            "telephone_number": "985-868-7882",
            "fax_number": "985-876-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "12003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1139483",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andre Funderburk Guidry, MD
• Angelle M Guidry, MASSAGE THERAPIST
• Brett B Guidry, LCSW
• Britney Angelle Guidry, NP
• Brittany Theresa Guidry, LCSW
• Byron J Guidry, PA
• Casey R Guidry, LCSW-BACS
• Elizabeth Naquin Guidry
• Felicia Charlotte Guidry, RN
• Karen Lynne Guidry, LPC LMFT

• Family Medicine Physician in Houma, LA
• Providers in Houma, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.