Individual provider Active NPI

Michael Todd Bezdek, PLPC

  • Counselor
  • New Orleans, LA
National Provider Identifier
1790224848
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6549 Issued in LA
Practice address
4038 Canal St
New Orleans, LA 70119-6021
Phone
(504) 681-7030
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6549 LA Primary

Addresses

Primary practice location

4038 Canal St
New Orleans, LA 70119-6021

Mailing address

5012 Perrier St
New Orleans, LA 70115-2928
Phone (225) 278-3707

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6549LAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1790224848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 PERRIER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152928",
            "telephone_number": "225-278-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196021",
            "telephone_number": "504-681-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZDEK",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.