Madison Bordelon

Key facts

NPI

1356950109

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

221 N Monroe St Ste 2
Marksville, LA 71351-2311

Phone

(318) 240-7278

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2020.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1356950109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 902",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MONROE ST STE 2",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512311",
            "telephone_number": "318-240-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

• Misty Lauren Blanchard
• Bridget L Bordelon, RN
• James Lynn Bordelon Jr., M.D.
• Kevin John Bordelon, M.D.
• Kimberly Bordelon, LMT
• Mallory Bordelon
• Melissa Jeanne Breaux, LCSW
• Donna L Breen, M.D.
• Abby Fay Brevelle, LCSW
• Catherine A. Brooks, O.T.

All providers in Marksville, LA · Case Manager/Care Coordinator in Louisiana