Active NPI
Beatrice S. Desper, M.D.
- Gynecology Physician
- Mandeville, LA
National Provider Identifier
1689647430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 15436R
- Practice address
- 1120 N Causeway Blvd
Suite 1
Mandeville, LA 70471-3209 - Phone
- (985) 674-4434
- Fax
- (985) 674-4374
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 15436R | LA | Primary |
Addresses
Primary practice location
1120 N Causeway Blvd
Suite 1
Mandeville, LA 70471-3209
Mailing address
1120 N Causeway Blvd
Suite 1
Mandeville, LA 70471-3209
Phone (985) 674-9720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4K703CY96 | Other | LA | MEDICARE INDIVIDUAL PTAN |
| 1469742 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15436R | LA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1689647430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CAUSEWAY BLVD",
"address_2": "SUITE 1",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713209",
"telephone_number": "985-674-9720",
"fax_number": "985-674-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N CAUSEWAY BLVD",
"address_2": "SUITE 1",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713209",
"telephone_number": "985-674-4434",
"fax_number": "985-674-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESPER",
"first_name": "BEATRICE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "LA",
"license": "15436R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "4K703CY96",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1469742",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.