Glenn D. Hedgpeth, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

013678 Issued in LA

Practice address

189 Greenbriar Blvd
Suite C
Covington, LA 70433-7234

Phone

(985) 871-8920

Fax

(985) 871-9796

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• DRS. Samuels & Huddleston, Apmc

  • Specialist
  • Covington, LA
  • NPI 1356395099
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1821098948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704341847",
            "telephone_number": "985-871-4910",
            "fax_number": "985-871-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 GREENBRIAR BLVD",
            "address_2": "SUITE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337234",
            "telephone_number": "985-871-8920",
            "fax_number": "985-871-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGPETH",
        "first_name": "GLENN",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "013678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317667",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence James Hebert III, CRNA
• Lexie Hebert
• Rebecca Rome Hebert, MS, CCC-SLP
• Ryan L Hebert, MD
• Maria Robert Hebrock
• Deborah Ann Heffernan, LPC,LMFT,LAC
• Ludwig C Heintz, M.D.
• Kathleen Gibeau Hekmatdoost, APRN, NNP
• Hematology & Oncology Specialists LLC
• Hematology & Oncology Specialists LLC

• Gastroenterology Physician in Covington, LA
• Providers in Covington, LA by specialty
• Gastroenterology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.