Victoria L Bolgiano, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

332188 Issued in LA

Practice address

206 Energy Parkway
Lafayette, LA 70508-3816

Phone

(337) 504-3335

Fax

(337) 504-4795

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lafayette Internal Medicine Clinic LLCGroup PAC ID 3476740515, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Lafayette Internal Medicine Clinic LLC

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1386951622
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1649730623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ENERGY PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083816",
            "telephone_number": "337-504-3335",
            "fax_number": "337-504-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ENERGY PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083816",
            "telephone_number": "337-504-3335",
            "fax_number": "337-504-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLGIANO",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "332188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2526146",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimala Winger Bolden, MACCC-SLP
• Tramenia Shavon Bolden, MS
• Troy Anthony Bolden, RN
• Toni Lynn Bolfer
• Madison Rae Bolgiano, PA-C
• John A Bolin, MD
• Chris Boling, LCSW
• Janice Rodgers Bolivar, RN,CARN
• David Jude Bollich, PA-C
• John Bollich, OD

• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.

Verify at the official NPI Registry.