Active NPI
Bernard Eagleton, MD
- Anesthesiology Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 12795
- Practice address
- 255 W Michigan Ave
Jackson, MI 49201-2218 - Phone
- (517) 787-6440
- Fax
- (517) 787-4146
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 12795 | LA | Primary |
Addresses
Primary practice location
255 W Michigan Ave
Jackson, MI 49201-2218
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Southern Illinois University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 S I 10 Service Rd W
Tulane Lakeside Hospital
Metairie, LA 70001-1210
Phone (504) 613-0711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12795 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Dpi of Louisiana LLC | Anesthesiology | Current | Accepting new patients |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Diversified Professionals, Inc. | Anesthesiology | Current | Accepting new patients |
| Childrens Hospital Anesthesia Corporation | Anesthesiology | Current | Accepting new patients |
| The Capital City Anesthesia Group, LLC | Anesthesiology | Current | Accepting new patients |
| Zephyr Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Coastal Anesthesia, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
3900 N Causeway Blvd
Ste 625
Metairie, LA 70002
Phone (504) 262-9033
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357
Organizations & group practices 9
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.
-
dba LCMC Anesthesia
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1700923992
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1144083387
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1245282466
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1649211426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLETON",
"first_name": "BERNARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "12795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.