Active NPI
B. D. Bertrand & Associates LLC
- Family Nurse Practitioner
- Prairieville, LA
National Provider Identifier
1871990614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07021
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2351958 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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.