Organization Active NPI

Dr Brad W Lebert MD LLC

Doing business as Covington ENT & Allergy Clinic

  • Otolaryngology Physician
  • Covington, LA
National Provider Identifier
1649052689
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DR BRAD W LEBERT MD LLC
Doing business as
Covington ENT & Allergy Clinic
Practice address
1550 Ochsner Blvd
Covington, LA 70433-8192
Phone
(985) 327-1987
Fax
(985) 327-1938
NPI assigned
Oct 16, 2023
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Brad Wayne Lebert, MDNPI 1720278385
Title
MD
Phone
(985) 327-1987

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)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

1550 Ochsner Blvd
Covington, LA 70433-8192

Mailing address

100 S Vermont St
Covington, LA 70433-3244
Phone (337) 304-9365

Other names 1

  • Covington ENT & Allergy Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220000532 LA Part B Supplier - Clinic/Group Practice 1850521774 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Covington, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2326546Covington ENT & Allergy Clinic1550 Ochsner Blvd, Covington, LA 70433Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

1550 Ochsner Blvd
Covington, LA 70433
Phone (985) 327-1987

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1649052689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S VERMONT ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333244",
            "telephone_number": "337-304-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338192",
            "telephone_number": "985-327-1987",
            "fax_number": "985-327-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRAD W LEBERT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LEBERT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "985-327-1987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington ENT & Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.