Organization Active NPI

Contemporary Womens Care of Breaux Bridge

  • Obstetrics & Gynecology Physician
  • Breaux Bridge, LA
National Provider Identifier
1881915411
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
203619 Issued in LA
Legal business name
CONTEMPORARY WOMENS CARE OF BREAUX BRIDGE
Practice address
1546 Gary Drive
Breaux Bridge, LA 70517
Phone
(337) 289-1808
Fax
(337) 289-1988
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Eric Paul Elias, M.D.NPI 1043447196
Title
President
Phone
(337) 241-1269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 203619 LA Primary

Addresses

Primary practice location

1546 Gary Drive
Breaux Bridge, LA 70517

Mailing address

1546 Gary Drive
Breaux Bridge, LA 70517
Phone (337) 289-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101029001355 LA Part B Supplier - Clinic/Group Practice 6709070147 Receives reassigned benefits from 1 practitioner
Practice locations: Breaux Bridge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2014102Contemporary Womens Care of Breaux Bridge1546 Gary Drive, Breaux Bridge, LA 70517ComplianceAug 21, 2027

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": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1881915411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 GARY DRIVE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "70517",
            "telephone_number": "337-289-1808",
            "fax_number": "337-289-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 GARY DRIVE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "70517",
            "telephone_number": "337-289-1808",
            "fax_number": "337-289-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY WOMENS CARE OF BREAUX BRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-241-1269",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "203619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.