Individual provider Active NPI

Claude William Gilbreath, M.D.

  • Family Medicine Physician
  • Hammond, LA
National Provider Identifier
1356324594
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10557R Issued in LA
Practice address
16052 Doctors Blvd
Hammond, LA 70403-1478
Phone
(985) 345-9606
Fax
(985) 345-9616
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10557R LA Primary

Addresses

Primary practice location

16052 Doctors Blvd
Hammond, LA 70403-1478

Mailing address

PO Box 280
Ponchatoula, LA 70454-0280
Phone (985) 345-9606

Other identifiers 3

IdentifierTypeStateIssuer
P00174982OtherLARRM
1659304MedicaidLA
P00132265OtherLARAILROAD MEDICARE

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
I20040715000065 LA Practitioner - Family Practice 2567441462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Physicians LLCGroup PAC ID 8729081278, 5 clinicians

Practice addresses (Care Compare)

16052 Doctors Blvd
Hammond, LA 70403-1478
Phone 98534696063333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
91.83
Promoting interoperability
100
Improvement activities
40
Cost
68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10557RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Physicians, L.L.C. Family Medicine CurrentSince Aug 1, 2003 Accepting new patients
Neuroscience & Pain Institute LLC CurrentSince Sep 11, 2018 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

76 Starbrush Cir
Covington, LA 70433
Phone (985) 400-5778

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

16052 Doctors Blvd
Hammond, LA 70403
Phone (985) 345-9606

2545 Veterans Ave
Hammond, LA 70403
Phone (504) 386-0706

985 Robert Blvd
Slidell, LA 70458
Phone (985) 649-4911

Interoperability endpoints

  • Direct secure messaging: claude.gilbreath.1@27099.direct.athenahealth.com

Organizations & group practices 3

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 7

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1356324594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704540280",
            "telephone_number": "985-345-9606",
            "fax_number": "985-345-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-345-9606",
            "fax_number": "985-345-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBREATH",
        "first_name": "CLAUDE",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10557R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "P00174982",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659304",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00132265",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.