Individual provider Active NPI

Peter Bozner, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lafayette, LA
National Provider Identifier
1366439457
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
14014R Issued in LA
Practice address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone
(337) 289-7991
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 14014R LA Primary

Addresses

Primary practice location

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Mailing address

PO Box 52087
Lafayette, LA 70505-2087
Phone (337) 261-5151

Other identifiers 1

IdentifierTypeStateIssuer
1180114MedicaidLA

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
I20100728000342 LA Practitioner - Pathology 7517090533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Anatomic Pathology Services IncGroup PAC ID 8123922903, 5 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7679

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Lafayette Surgical Specialty Hospital Hospital, Lafayette, LA, CCN 190259

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14014RLAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Anatomic Pathology Services, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 9, 2001 Accepting new patients
Preferred Anatomic Pathology Services, Inc. Clinical Pathology CurrentSince Jul 9, 2001 Accepting new patients

Locations

1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

1000 W Pinhook Rd
Ste 100
Lafayette, LA 70503
Phone (337) 289-8095

1214 Coolidge Blvd
Fl 3
Lafayette, LA 70503
Phone (337) 289-7679

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

927 Harding St
Lafayette, LA 70503

Interoperability endpoints

  • Direct secure messaging: pbonzer1456544@direct.ochsner.org

Organizations & group practices 2

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 6

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1366439457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52087",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052087",
            "telephone_number": "337-261-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "337-289-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZNER",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "14014R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1180114",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.