Individual provider Active NPI

Bob Winston, MD

  • Psychiatry Physician
  • Lafayette, LA
National Provider Identifier
1619064367
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11569R Issued in LA
Practice address
234 Rue Beauregard
Suite 100
Lafayette, LA 70508-3285
Phone
(337) 593-0830
Fax
(337) 593-0122
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11569R LA Primary

Addresses

Primary practice location

234 Rue Beauregard
Suite 100
Lafayette, LA 70508-3285

Mailing address

234 Rue Beauregard
Suite 100
Lafayette, LA 70508-3285
Phone (337) 593-0830

Other identifiers 1

IdentifierTypeStateIssuer
1672025MedicaidLA

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
I20110203001073 LA Practitioner - PsychiatryPractitioner - Addiction Medicine 9638361587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
George Washington University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 W Pinhook Rd
Suite 504
Lafayette, LA 70508-3212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11569RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bob Winston MD PSC Psychiatry CurrentSince Jan 1, 2000 Accepting new patients

Locations

810 S Broadway St
Church Point, LA 70525
Phone (337) 684-4281

2020 W Pinhook Rd
Ste 504
Lafayette, LA 70508
Phone (337) 214-2100

234 Rue Beauregard
Ste 100
Lafayette, LA 70508
Phone (337) 593-0830

Organizations & group practices 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1619064367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 RUE BEAUREGARD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083285",
            "telephone_number": "337-593-0830",
            "fax_number": "337-593-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 RUE BEAUREGARD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083285",
            "telephone_number": "337-593-0830",
            "fax_number": "337-593-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "BOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "11569R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1672025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.