Individual provider Active NPI

Kadie Bimle Frost, M.D.

  • Pediatrics Physician
  • West Monroe, LA
National Provider Identifier
1821409905
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
305389 Issued in LA
Practice address
107 Contempo Ave.
Suite 2
West Monroe, LA 71291
Phone
(318) 324-0111
Fax
(318) 324-9679
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 305389 LA Primary

Addresses

Primary practice location

107 Contempo Ave.
Suite 2
West Monroe, LA 71291

Mailing address

107 Contempo Ave.
Suite 2
West Monroe, LA 71291
Phone (318) 324-0111

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
I20220908000871 LA Practitioner - Pediatric Medicine 4082938808 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305389LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ward 3 4 & 10 Hospital Service District of Parish of Union CurrentSince Jul 1, 2022 Accepting new patients
Cynthia P. Bimle, MD, Apmc Pediatrics PastSince Jul 24, 2022 Accepting new patients

Locations

100 Medical Park Dr
Bernice, LA 71222
Phone (318) 285-7777

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821409905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE.",
            "address_2": "SUITE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71291",
            "telephone_number": "318-324-0111",
            "fax_number": "318-324-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE.",
            "address_2": "SUITE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71291",
            "telephone_number": "318-324-0111",
            "fax_number": "318-324-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "KADIE",
        "middle_name": "BIMLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "305389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.