Organization Active NPI

B. D. Bertrand & Associates LLC

  • Family Nurse Practitioner
  • Prairieville, LA
National Provider Identifier
1871990614
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07021 Issued in LA
Legal business name
B. D. BERTRAND & ASSOCIATES LLC
Practice address
18069 Timberview Dr
Prairieville, LA 70769-3379
Phone
(225) 939-4841
Fax
(225) 744-4302
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mr. Brad Dwayne Bertrand, NP
Title
Ceo
Phone
(225) 939-4841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07021 LA Primary

Addresses

Primary practice location

18069 Timberview Dr
Prairieville, LA 70769-3379

Mailing address

18069 Timberview Dr
Prairieville, LA 70769-3379
Phone (225) 939-4841

Other identifiers 1

IdentifierTypeStateIssuer
2351958MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1871990614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18069 TIMBERVIEW DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693379",
            "telephone_number": "225-939-4841",
            "fax_number": "225-744-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18069 TIMBERVIEW DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693379",
            "telephone_number": "225-939-4841",
            "fax_number": "225-744-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. D. BERTRAND & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-939-4841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351958",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.