Individual provider Active NPI

Alice P Lebreton, MD

  • Pediatrics Physician
  • Slidell, LA
National Provider Identifier
1679537336
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
025996 Issued in LA
Practice address
1150 Robert Blvd Ste 330
Slidell, LA 70458-2006
Phone
(985) 280-7337
Fax
(985) 280-7340
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 025996 LA Primary

Addresses

Primary practice location

1150 Robert Blvd Ste 330
Slidell, LA 70458-2006

Mailing address

1150 Robert Blvd Ste 330
Slidell, LA 70458-2006
Phone (985) 280-7337

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180326001045 LA Practitioner - Pediatric Medicine 8921360264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1150 Robert Blvd
Slidell, LA 70458-2004
Phone (985) 649-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025996LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Slidell Memorial Hospital CurrentSince Jan 1, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 4, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 4, 2023 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1001 Florida Ave
Slidell, LA 70458
Phone (985) 280-7337

1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609

1150 Robert Blvd
Ste 330
Slidell, LA 70458
Phone (985) 280-7337

1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223

1150 Robert Blvd
Slidell, LA 70458
Phone (985) 280-8823

Interoperability endpoints

  • Direct secure messaging: alebreton24265@direct.ochsner.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1679537336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 330",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582006",
            "telephone_number": "985-280-7337",
            "fax_number": "985-280-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 330",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582006",
            "telephone_number": "985-280-7337",
            "fax_number": "985-280-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRETON",
        "first_name": "ALICE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "025996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.