Individual provider Active NPI

Phillip Anthony Barksdale, M.D.

  • Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1487746509
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
09178R Issued in LA
Practice address
500 Rue de la Vie St
Suite 511
Baton Rouge, LA 70817-5127
Phone
(225) 752-3000
Fax
(225) 752-8900
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 09178R LA Primary

Addresses

Primary practice location

500 Rue de la Vie St
Suite 511
Baton Rouge, LA 70817-5127

Mailing address

500 Rue de la Vie St
Suite 511
Baton Rouge, LA 70817-5127
Phone (225) 752-3000

Other identifiers 1

IdentifierTypeStateIssuer
198110MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000716 LA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 4981759842 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09178RLAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Jul 1, 2012 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2012 Accepting new patients

Locations

500 Rue de la Vie St
Ste 511
Baton Rouge, LA 70817
Phone (225) 752-3000

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1487746509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "SUITE 511",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175127",
            "telephone_number": "225-752-3000",
            "fax_number": "225-752-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "SUITE 511",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175127",
            "telephone_number": "225-752-3000",
            "fax_number": "225-752-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "PHILLIP",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "09178R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198110",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.