Organization Active NPI

Bradley M Blappert MD

  • Clinic/Center
  • Lafayette, LA
National Provider Identifier
1659535847
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2022254 Issued in LA
Legal business name
BRADLEY M BLAPPERT MD
Practice address
5000 Ambassador Caffery Pkwy
Building 6B
Lafayette, LA 70508-6984
Phone
(337) 984-1124
Fax
(337) 984-1436
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Bradley M Blappert, MDNPI 1225247455
Title
Owner / Operator
Phone
(337) 984-1124

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
Clinic/Center 261Q00000X 2022254 LA Primary

Addresses

Primary practice location

5000 Ambassador Caffery Pkwy
Building 6B
Lafayette, LA 70508-6984

Mailing address

5000 Ambassador Caffery Pkwy
Building 6B
Lafayette, LA 70508-6984
Phone (337) 984-1124

Other identifiers 1

IdentifierTypeStateIssuer
1225247455OtherLADR'S NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1659535847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY",
            "address_2": "BUILDING 6B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-984-1124",
            "fax_number": "337-984-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 AMBASSADOR CAFFERY PKWY",
            "address_2": "BUILDING 6B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086984",
            "telephone_number": "337-984-1124",
            "fax_number": "337-984-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY M BLAPPERT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "BLAPPERT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "337-984-1124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "2022254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR'S NPI",
            "identifier": "1225247455",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.