Individual provider Active NPI

Jacob Lee Breaux, M.D.

  • Gastroenterology Physician
  • Lafayette, LA
National Provider Identifier
1437416617
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD.207307 Issued in LA
Practice address
1211 Coolidge Blvd Ste 303
Lafayette, LA 70503
Phone
(337) 232-6697
Fax
(337) 232-6605
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD.207307 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd Ste 303
Lafayette, LA 70503

Mailing address

1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636
Phone (337) 232-6697

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
I20180807001887 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 0042434961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Gastroenterology Associates LLCGroup PAC ID 4789079781, 28 clinicians

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 303
Lafayette, LA 70503-2636
Phone (337) 232-6697

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Ochsner St Mary Hospital, Morgan City, LA, CCN 190014

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy206
Upper gastrointestinal (GI) endoscopy for acid reflux190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207307LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jan 1, 2020 Accepting new patients
Louisiana Gastroenterology Associates LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Texas Digestive Disease Consultants PLLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients

Locations

118 N Hospital Dr
Fl 3
Abbeville, LA 70510
Phone (337) 893-3002

2621 North Dr
Ste B
Abbeville, LA 70510
Phone (337) 898-1860

1555 Gary Dr
#B
Breaux Bridge, LA 70517
Phone (337) 233-9900

711 N Montgomery Ave
Kaplan, LA 70548
Phone (318) 643-1747

1211 Coolidge Blvd
Ste 304
Lafayette, LA 70503
Phone (337) 236-3030

439 Heymann Blvd
Lafayette, LA 70503
Phone (337) 269-0963

1211 Coolidge Blvd
Ste 303
Lafayette, LA 70503

1211 Coolidge Blvd
#303
Lafayette, LA 70503
Phone (334) 232-6697

1211 Coolidge Blvd
Ste 400
Lafayette, LA 70503
Phone (337) 234-3278

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Interoperability endpoints

  • Direct secure messaging: jbreaux90221@direct.ochsner.org

Organizations & group practices 3

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 5

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1437416617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 303",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-232-6697",
            "fax_number": "337-232-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 303",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-232-6697",
            "fax_number": "337-232-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JACOB",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "MD.207307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.