Individual provider Active NPI

Jeffrey Gerald Breaux, M.D.

  • Obstetrics & Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1811976269
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
017392 Issued in LA
Practice address
100 Womans Way
Baton Rouge, LA 70817-5100
Phone
(225) 927-1300
Fax
(225) 924-8762
NPI assigned
Jan 13, 2006
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 017392 LA Primary

Addresses

Primary practice location

100 Womans Way
Baton Rouge, LA 70817-5100

Mailing address

100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 927-1300

Other practice location 1

781 Colonial Dr
Baton Rouge, LA 70806-6537
Phone (225) 201-0505 ext. 1205

Other identifiers 1

IdentifierTypeStateIssuer
1361542MedicaidLA

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
I20050415000000 LA Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 2163328568 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17932LAMDPharmacist
017392LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woman's Assessment Center Physicians Obstetrics & Gynecology CurrentSince Jan 1, 2008 Accepting new patients
Woman's Hospital Foundation PastSince Jan 1, 2015 Accepting new patients

Locations

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

9050 Airline Hwy
Baton Rouge, LA 70815
Phone (225) 924-8149

Interoperability endpoints

  • Direct secure messaging: jbreaux18872@womanshospital.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1811976269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOMANS WAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175100",
            "telephone_number": "225-927-1300",
            "fax_number": "225-924-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOMANS WAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175100",
            "telephone_number": "225-927-1300",
            "fax_number": "225-924-8762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066537",
            "country_code": "US",
            "telephone_number": "225-201-0505 x1205",
            "fax_number": "225-201-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JEFFREY",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "017392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361542",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.