Individual provider Active NPI

Laura A Both, M.D.

  • Family Medicine Physician
  • Bremen, IN
National Provider Identifier
1356564447
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01068122A Issued in IN
Practice address
1144 W. Plymouth St.
Bremen, IN 46506
Phone
(574) 546-5363
Fax
(574) 546-2575
NPI assigned
Apr 10, 2007
Last updated
May 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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 01068122A IN Primary

Addresses

Primary practice location

1144 W. Plymouth St.
Bremen, IN 46506

Mailing address

1144 W Plymouth St
Bremen, IN 46506-1842
Phone (574) 546-5363

Other names 1

  • Laura A Foudy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150130001194 IN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3173847720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Family Physicians, PCGroup PAC ID 8527031947, 5 clinicians

Practice addresses (Care Compare)

1724 W Plymouth St
Bremen, IN 46506-1940
Phone (574) 546-3045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
96.61
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068122AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Family Physicians, PC Family Medicine CurrentSince Dec 23, 2018 Accepting new patients

Locations

1724 W Plymouth St
Bremen, IN 46506
Phone (219) 546-3045

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1356564447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 W PLYMOUTH ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061842",
            "telephone_number": "574-546-5363",
            "fax_number": "574-546-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 W. PLYMOUTH ST.",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "46506",
            "telephone_number": "574-546-5363",
            "fax_number": "574-546-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTH",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01068122A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "FOUDY",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bremen, IN

Sources for this page

Verify at the official NPI Registry.