Active NPI
Brad Wayne Lebert, M.D.
- Otolaryngology Physician
- Covington, LA
National Provider Identifier
1720278385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD202598
- Practice address
- 1550 Ochsner Blvd
Covington, LA 70433-8192 - Phone
- (985) 327-1987
- Fax
- (985) 327-1938
- NPI assigned
- Jul 30, 2007
- Last updated
- Apr 29, 2024
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD202598 | LA | Primary |
Addresses
Primary practice location
1550 Ochsner Blvd
Covington, LA 70433-8192
Mailing address
100 S Vermont St
Covington, LA 70433-3244
Phone (337) 304-9365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508179 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Louisiana State University School of Medicine in New Orleans, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1550 Ochsner Blvd
Covington, LA 70433-8192
Phone (985) 327-1987
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Health LLP | Past | Accepting new patients | |
| Dynamic Physical Therapy Services LLC | Past | Accepting new patients | |
| LCMS Ear, Nose and Throat Clinic of Southwest Louisiana, LLC | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Covington ENT & Allergy Clinic
- Otolaryngology Physician
- Covington, LA
- NPI 1649052689
-
- Orthopedic Physical Therapist
- Covington, LA
- NPI 1639267974
-
- Family Medicine Physician
- Lake Charles, LA
- NPI 1326396375
-
dba Southwest Louisiana ENT
- Otolaryngology Physician
- Lake Charles, LA
- NPI 1801184007
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1720278385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S VERMONT ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333244",
"telephone_number": "337-304-9365",
"fax_number": "985-327-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 OCHSNER BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338192",
"telephone_number": "985-327-1987",
"fax_number": "985-327-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBERT",
"first_name": "BRAD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "MD202598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508179",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.