Individual provider Active NPI

Bedford Nieves Cruz, MD

  • Neonatal-Perinatal Medicine Physician
  • Houma, LA
National Provider Identifier
1568425080
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD.11360R Issued in LA
Practice address
8166 Main St
Houma, LA 70360-3404
Phone
(985) 873-4141
Fax
(985) 851-4307
NPI assigned
Apr 7, 2006
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD11360R LA
Neonatal-Perinatal Medicine Physician 2080N0001X MD.11360R LA Primary

Addresses

Primary practice location

8166 Main St
Houma, LA 70360-3404

Mailing address

8166 Main St
Houma, LA 70360-3404
Phone (985) 226-6428

Other identifiers 3

IdentifierTypeStateIssuer
370007352OtherRAILROAD MEDICARE
1664324MedicaidLA
02286071MedicaidMS

Other names 1

  • Bedford Nieves Other name

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
I20060308000333 LA Practitioner - Pediatric Medicine 0446267942 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jun 1, 2010 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 1, 2010 Accepting new patients
Terrebonne Parish Hospital Service District #1 Pediatrics Current Accepting new patients
Terrebonne Parish Hospital Service District #1 Past Accepting new patients

Locations

Dept AT 952602
Atlanta, GA 31192

1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

1514 Jefferson Hwy
New Orleans, LA 70121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1568425080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-226-6428",
            "fax_number": "985-858-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-873-4141",
            "fax_number": "985-851-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES CRUZ",
        "first_name": "BEDFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD11360R",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "MD.11360R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "370007352",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664324",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02286071",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEDFORD",
            "last_name": "NIEVES",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.