Organization Active NPI

David Bruce Hebert, MD,Apmllc

  • Specialist
  • Slidell, LA
National Provider Identifier
1881879112
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13798 Issued in LA
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

Updated by the provider on Oct 2, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.