Individual provider Active NPI

Bennett Paul Deboisblanc, MD

  • Pulmonary Disease Physician
  • New Orleans, LA
National Provider Identifier
1750324463
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD016180 Issued in LA
Practice address
1901 Perdido St
Suite 3205
New Orleans, LA 70112-1393
Phone
(504) 568-4634
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 016180 LA
Pulmonary Disease Physician 207RP1001X MD016180 LA Primary

Addresses

Primary practice location

1901 Perdido St
Suite 3205
New Orleans, LA 70112-1393

Mailing address

1901 Perdido St
Suite 3205
New Orleans, LA 70112-1393
Phone (504) 568-4634

Other identifiers 1

IdentifierTypeStateIssuer
1377015MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000473 LA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3779581012 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10423LAMDClinical Social Worker
016180LAMDSpecialist
MD016180LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G Specialist CurrentSince Jan 26, 1996 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 1, 1994 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 26, 1996 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 1, 1994 Accepting new patients
Lsu Medical Center Past Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1900 Gravier St
New Orleans, LA 70112
Phone (504) 568-4106

1901 Perdido St
Ste 3205
New Orleans, LA 70112
Phone (504) 568-2903

2020 Gravier St
New Orleans, LA 70112
Phone (504) 412-1400

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

Interoperability endpoints

  • Direct secure messaging: bdeboisblanc25772@direct.ochsner.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1750324463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PERDIDO ST",
            "address_2": "SUITE 3205",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121393",
            "telephone_number": "504-568-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PERDIDO ST",
            "address_2": "SUITE 3205",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121393",
            "telephone_number": "504-568-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOISBLANC",
        "first_name": "BENNETT",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "016180",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "MD016180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1377015",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.