Individual provider Active NPI

Beatrice S. Desper, M.D.

  • Gynecology Physician
  • Mandeville, LA
National Provider Identifier
1689647430
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
15436R Issued in LA
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

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4K703CY96OtherLAMEDICARE INDIVIDUAL PTAN
1469742MedicaidLA

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

LicenseStateTypeSpecialty
15436RLAMDGynecology 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.

Verify at the official NPI Registry.