Active NPI
Buckley J Terpenning, M.D.
- Diagnostic Radiology Physician
- Lafayette, LA
National Provider Identifier
1679527097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 15160R
- Practice address
- 611 Saint Landry St
Lafayette, LA 70506-4627 - Phone
- (337) 289-2180
- Fax
- (337) 289-2677
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 15160R | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 15160R | LA | Primary |
Addresses
Primary practice location
611 Saint Landry St
Lafayette, LA 70506-4627
Mailing address
PO Box 52545
Lafayette, LA 70505-2545
Phone (337) 289-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1163741 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Imaging Center | Past | Accepting new patients | |
| Lourdes Pathologists Apmc | Past | Accepting new patients | |
| Powers Radiology, PC | Neuroradiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lafayette, LA
- NPI 1932125358
-
- Radiology Clinic/Center
- Lafayette, LA
- NPI 1124044748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1679527097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52545",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705052545",
"telephone_number": "337-289-2180",
"fax_number": "337-289-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SAINT LANDRY ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064627",
"telephone_number": "337-289-2180",
"fax_number": "337-289-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERPENNING",
"first_name": "BUCKLEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "LA",
"license": "15160R",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "15160R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1163741",
"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 Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.