Organization Active NPI

Bradley J. Chastant, II MD LLC

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1356622336
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD204845 Issued in LA
Legal business name
BRADLEY J. CHASTANT, II MD LLC
Practice address
461 Heymann Blvd
Lafayette, LA 70503-2616
Phone
(337) 289-8717
Fax
(337) 289-8718
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Bradley John Chastant II, M.D.
Title
Physician
Phone
(337) 289-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD204845 LA Primary

Addresses

Primary practice location

461 Heymann Blvd
Lafayette, LA 70503-2616

Mailing address

461 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 289-8717

National Provider Directory

National Provider Directory

Locations

155 Hospital Dr
Ste 402
Lafayette, LA 70503
Phone (337) 234-8018

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1356622336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-289-8717",
            "fax_number": "337-289-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-289-8717",
            "fax_number": "337-289-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. CHASTANT, II MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "CHASTANT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-289-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD204845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.