Bradley Dickey, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Jeanerette, LA
NPI 1487401097 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1487401097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 234368 (LA)
- Practice address
- 1409 Church St
Jeanerette, LA 70544-4407 - Phone
- (225) 747-0343
- NPI assigned
- May 1, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calcasieu Urgent Care LLC
Practice addresses (Care Compare)
1910 Main St
Franklin, LA 70538-3116
Phone (337) 907-3254
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723004032 | LA | Practitioner - Nurse Practitioner | 6608312947 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients |
Locations
1910 Main St
Franklin, LA 70538
Phone (337) 907-3254
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
2558 Barataria Blvd
Marrero, LA 70072
Phone (504) 321-8121
132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 234368 | LA | Yes |
Addresses
Primary practice location
1409 Church St
Jeanerette, LA 70544-4407
Mailing address
1409 Church St
Jeanerette, LA 70544-4407
Other providers in Jeanerette, LA
- Jennifer Buck
- Cashway Pharmacy of Jeanerette, la. Inc.
- Henrietta Lee Chambers
- City Pharmacy and Home Medical LLC
- Savitra Antoine Collins
- Clint Patrick Dutil
- E&J'S Reliable Medical Transport Services LLC
- Eternal Handhome Care
- Ferguson Abundant Living Medical Transportation LLC
- Deirdre Faye Fontenot
All providers in Jeanerette, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.