NPIMap

Individual provider Active NPI

Bertrand Tillery Jr., M.D.

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1700852241
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025561 Issued in LA
Practice address
4001 Gen Degaulle Dr Ste H
Suite H
New Orleans, LA 70114-8298
Phone
(504) 365-9906
Fax
(504) 365-9902
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 025561 LA Primary

Addresses

Primary practice location

4001 Gen Degaulle Dr Ste H
Suite H
New Orleans, LA 70114-8298

Mailing address

4001 Gen Degaulle Dr
Suite H
New Orleans, LA 70114-8220
Phone (504) 365-9906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000006 LA Practitioner - Emergency Medicine 0446233969 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LCMC Health Clinical Services LLCGroup PAC ID 3274883681, 12 clinicians

Practice addresses (Care Compare)

2701 General Degaulle Dr
New Orleans, LA 70114-6222
Phone (504) 365-9906

5620 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 592-6437

Hospital & facility affiliations

  • New Orleans East Hospital Hospital, New Orleans, LA, CCN 190313

Merit-based Incentive Payment System (MIPS)

Final score
98.03 of 100Reported as group
Quality
88.2
Improvement activities
40
Cost
86.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025561LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Urgent Care, Inc Current Accepting new patients
Jena Ess Hospitalist LLC CurrentSince Apr 29, 2018 Accepting new patients
Ess Hospitalist LLC CurrentSince Dec 15, 2017 Accepting new patients
Jena Ess LLC CurrentSince Apr 29, 2018 Accepting new patients
LCMC Health Clinical Services, LLC CurrentSince Oct 24, 2020 Accepting new patients
St. Bernard Physician Services, LLC CurrentSince Mar 3, 2018 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Dec 15, 2017 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Nov 6, 2017 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Nov 6, 2017 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Nola Central City Clinic Past Accepting new patients

Locations

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

3908 Veterans Memorial Blvd
Ste 5
Metairie, LA 70002
Phone (504) 218-8959

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

5646 Read Blvd
Ste 240
New Orleans, LA 70127

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1700852241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 GEN DEGAULLE DR",
            "address_2": "SUITE H",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148220",
            "telephone_number": "504-365-9906",
            "fax_number": "504-365-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 GEN DEGAULLE DR STE H",
            "address_2": "SUITE H",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148298",
            "telephone_number": "504-365-9906",
            "fax_number": "504-365-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLERY",
        "first_name": "BERTRAND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.