Active NPI
Peter Bozner, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 14014R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1180114 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7679
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
- Acadia General Hospital
- Park Place Surgical Hospital
- Ochsner University Hospital and Clinics
- Lafayette Surgical Specialty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14014R | LA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Anatomic Pathology Services, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Preferred Anatomic Pathology Services, Inc. | Clinical Pathology | Current | 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
- 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lafayette, LA
- NPI 1700873833
-
- Anatomic Pathology & Clinical Pathology Physician
- Lafayette, LA
- NPI 1568596484
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crowley, LA
- NPI 1669882940
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1134222565
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1215996632
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.