Individual provider Active NPI

Norman Glen Neal, MD

  • Internal Medicine Physician
  • Harahan, LA
National Provider Identifier
1821089822
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15167R Issued in LA
Practice address
1525 Dickory Ave
Harahan, LA 70123-2168
Phone
(504) 818-0006
Fax
(505) 818-0095
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15167R LA Primary

Addresses

Primary practice location

1525 Dickory Ave
Harahan, LA 70123-2168

Mailing address

1525 Dickory Ave
Harahan, LA 70123-2168
Phone (504) 818-0006

Other identifiers 3

IdentifierTypeStateIssuer
P00740059OtherLARAILROAD
P00392494OtherLARRM
1582808MedicaidLA

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
I20040719000397 LA Practitioner - Internal MedicinePractitioner - Other (Physician) 3678552007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Stat Care LLCGroup PAC ID 3870028491, 17 clinicians
PCP Urgent Care Holdings LLCGroup PAC ID 5092016816, 47 clinicians

Practice addresses (Care Compare)

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone 22526144931

2840 Florida St
Baton Rouge, LA 70802-2721
Phone (225) 224-2402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15167RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Stat Care LLC Current Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Nov 1, 2018 Accepting new patients
Louisiana Stat Care LLC CurrentSince Nov 1, 2024 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Nov 1, 2018 Accepting new patients
Riverside Urgent Care CurrentSince Jan 15, 2014 Accepting new patients
The Family Asthma, Allergy and Immunology Clinic Past Accepting new patients
R.T. Royal Group LLC PastSince Jul 28, 2019 Accepting new patients

Locations

5420 Plank Rd
Baton Rouge, LA 70805
Phone (225) 228-2452

8540 Siegen Ln
Ste B
Baton Rouge, LA 70810
Phone (225) 224-8690

11055 Shoe Creek Dr
Baton Rouge, LA 70818
Phone (225) 261-4493

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

8540 Siegen Ln
Ste A
Baton Rouge, LA 70810

2840 Florida St
Baton Rouge, LA 70802
Phone (225) 224-2402

7353 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 442-0500

9688 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 408-7587

409 Oak Plaza Blvd
Brusly, LA 70719
Phone (225) 877-3700

3317 New Highway 51
La Place, LA 70068
Phone (985) 233-3317

17513 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 673-7587

Organizations & group practices 7

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1821089822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 DICKORY AVE",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232168",
            "telephone_number": "504-818-0006",
            "fax_number": "505-818-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 DICKORY AVE",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232168",
            "telephone_number": "504-818-0006",
            "fax_number": "505-818-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "NORMAN",
        "middle_name": "GLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "15167R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00740059",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "P00392494",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582808",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

Verify at the official NPI Registry.