Active NPI
David Bruce Hebert, MD,Apmllc
- Specialist
- Slidell, LA
National Provider Identifier
1881879112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13798
- Legal business name
- DAVID BRUCE HEBERT, MD,APMLLC
- Practice address
- 2364 Gause Blvd E
Suite 101
Slidell, LA 70461-4141 - Phone
- (985) 641-2202
- Fax
- (985) 641-2888
- NPI assigned
- Jan 5, 2008
- 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
- David B Hebert, M.D.
- Title
- Sole Member
- Phone
- (985) 641-2202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13798 | LA | Primary |
Addresses
Primary practice location
2364 Gause Blvd E
Suite 101
Slidell, LA 70461-4141
Mailing address
104 Houmas CT
Pearl River, LA 70452-3808
Phone (985) 863-2861
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Ridgewood, NJ
- NPI 1245291285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222905600000",
"number": "1881879112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HOUMAS CT",
"city": "PEARL RIVER",
"state": "LA",
"postal_code": "704523808",
"telephone_number": "985-863-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2364 GAUSE BLVD E",
"address_2": "SUITE 101",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614141",
"telephone_number": "985-641-2202",
"fax_number": "985-641-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID BRUCE HEBERT, MD,APMLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-05",
"last_updated": "2008-10-02",
"status": "A",
"authorized_official_last_name": "HEBERT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "985-641-2202",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "13798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.