Individual provider Active NPI

Harold G Bienvenu III, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • New Iberia, LA
National Provider Identifier
1497709307
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MD.015116 Issued in LA
Practice address
426 Charles St
New Iberia, LA 70560-3876
Phone
(337) 365-4156
Fax
(337) 365-4095
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X MD.015116 LA Primary

Addresses

Primary practice location

426 Charles St
New Iberia, LA 70560-3876

Mailing address

426 Charles St
New Iberia, LA 70560-3876
Phone (337) 365-4156

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
I20040108000215 LA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6709785751 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.015116LAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tynes Mixon, III MD Apmc CurrentSince Jun 1, 2021 Accepting new patients
Harold G Bienvenu III MD, Apmc Facial Plastic Surgery PastSince Feb 20, 2006 Accepting new patients
Lake Charles Medical & Surgical Clinic Past Accepting new patients
Imperial Health LLP Past Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

401 Youngsville Hwy
Ste 200A
Lafayette, LA 70508
Phone (337) 256-8494

426 Charles St
New Iberia, LA 70560
Phone (337) 365-4156

Interoperability endpoints

  • Direct secure messaging: hgbienve@yourcarecommunity.org

Organizations & group practices 5

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1497709307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603876",
            "telephone_number": "337-365-4156",
            "fax_number": "337-365-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603876",
            "telephone_number": "337-365-4156",
            "fax_number": "337-365-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENVENU",
        "first_name": "HAROLD",
        "middle_name": "G",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "LA",
            "license": "MD.015116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.