Active NPI
Louisiana Brain & Spine Clinic, II,LLP
- Specialist
- Thibodaux, LA
National Provider Identifier
1790845287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- LOUISIANA BRAIN & SPINE CLINIC, II,LLP
- Practice address
- 604 N Acadia Rd
Suite 410
Thibodaux, LA 70301-4847 - Phone
- (985) 447-2645
- Fax
- (985) 447-2604
- NPI assigned
- Dec 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sherry V Fontenot
- Title
- Manager
- Phone
- (985) 447-2645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
604 N Acadia Rd
Suite 410
Thibodaux, LA 70301-4847
Mailing address
604 N Acadia Rd
Suite 410
Thibodaux, LA 70301-4847
Phone (985) 447-2645
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Covington, LA
- NPI 1144270174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790845287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N ACADIA RD",
"address_2": "SUITE 410",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "985-447-2645",
"fax_number": "985-447-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N ACADIA RD",
"address_2": "SUITE 410",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "985-447-2645",
"fax_number": "985-447-2604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA BRAIN & SPINE CLINIC, II,LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FONTENOT",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "985-447-2645",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
- Logan Authement Enterprises (Active Chiropractic and Rehab)
- Becky M. Logan, SURGICAL TECH
- Bridget Loland, LPC, NCC
- Naomi Lopez
- Bobbie Fremin Lorenzo, BCBA
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05297)
- Louisiana Ear, Nose, & Throat Specialists, Inc.
- Louisiana Em-1 Medical Services, PC
- Louisiana General and Endocrine Surgery LLC
- Louisiana Wheel Chair Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.