Active NPI
Heartlung Rehab, LLC
- Internal Medicine Physician
- New Orleans, LA
National Provider Identifier
1366930877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HEARTLUNG REHAB, LLC
- Practice address
- 939 S Jeff Davis Pkwy
New Orleans, LA 70125-1216 - Phone
- (504) 861-9981
- NPI assigned
- Apr 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bret Berry, M.S.
- Title
- Sole MBR
- Phone
- (504) 861-9981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
939 S Jeff Davis Pkwy
New Orleans, LA 70125-1216
Mailing address
138 Lafayette St
Mandeville, LA 70448-5620
Other practice location 1
138 Lafayette St
Mandeville, LA 70448-5620
Phone (504) 861-9981
Other practice location 2
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 861-9981
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553644800000",
"number": "1366930877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 LAFAYETTE ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704485620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 S JEFF DAVIS PKWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701251216",
"telephone_number": "504-861-9981"
}
],
"practiceLocations": [
{
"address_1": "138 Lafayette St",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "704485620",
"country_code": "US",
"telephone_number": "504-861-9981",
"fax_number": "504-861-9704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Canal St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701123018",
"country_code": "US",
"telephone_number": "504-861-9981",
"fax_number": "504-861-9704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEARTLUNG REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-30",
"last_updated": "2019-03-27",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "BRET",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "504-861-9981",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.