Active NPI
Matthew M Bice, MD
- Family Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1720035124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 021949
- Practice address
- 3870 Convention St
Baton Rouge, LA 70806-3803 - Phone
- (225) 381-6249
- Fax
- (225) 336-2912
- NPI assigned
- May 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 021949 | LA | Primary |
Addresses
Primary practice location
3870 Convention St
Baton Rouge, LA 70806-3803
Mailing address
3870 Convention St
Baton Rouge, LA 70806-3803
Phone (225) 381-6249
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00469197 | Other | LA | RAILROAD |
| 1720035124 | Other | LA | NPI |
| 1682799 | 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 |
|---|---|---|---|
| 021949 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Group Inc | Family Medicine | Past | Accepting new patients |
| Mid-City Family Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1306860978
Family Medicine
-
- Clinic/Center
- Shreveport, LA
- NPI 1861671869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1720035124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3870 CONVENTION ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063803",
"telephone_number": "225-381-6249",
"fax_number": "225-336-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 CONVENTION ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063803",
"telephone_number": "225-381-6249",
"fax_number": "225-336-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICE",
"first_name": "MATTHEW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "021949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00469197",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1720035124",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1682799",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.