Active NPI
Nabil M. Gad, a Professional Medical Corporation
- Psychiatry Physician
- Alexandria, LA
National Provider Identifier
1629330675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NABIL M. GAD, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 5920 Coliseum Blvd
Alexandria, LA 71303 - Phone
- (318) 443-9339
- NPI assigned
- Jun 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nabil M Gad, M.D.
- Title
- Self
- Phone
- (318) 443-9339
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
5920 Coliseum Blvd
Alexandria, LA 71303
Mailing address
5920 Coliseum Blvd.
Alexandria, LA 71303
Phone (318) 443-9339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121029000261 | LA | Part B Supplier - Clinic/Group Practice | 0042460008 |
Receives reassigned benefits from 1 practitioner Practice locations: Alexandria, LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1629330675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 COLISEUM BLVD.",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "318-443-9339",
"fax_number": "318-443-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 COLISEUM BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "318-443-9339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NABIL M. GAD, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "GAD",
"authorized_official_first_name": "NABIL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SELF",
"authorized_official_telephone_number": "318-443-9339",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.