NPIMap

Individual provider Active NPI

James Lynn Bordelon Jr., M.D.

  • Surgery Physician
  • Marksville, LA
National Provider Identifier
1902836455
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.201214 Issued in LA
Practice address
4239 Highway 1192
Suite 300
Marksville, LA 71351-4711
Phone
(318) 253-7767
Fax
(318) 253-7756
NPI assigned
Jul 3, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M1525 TX
Surgery Physician 208600000X MD.201214 LA Primary

Addresses

Primary practice location

4239 Highway 1192
Suite 300
Marksville, LA 71351-4711

Mailing address

4239 Highway 1192
Suite 300
Marksville, LA 71351-4771
Phone (318) 253-7767

Other identifiers 1

IdentifierTypeStateIssuer
1011959MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000261 LA Practitioner - General Surgery 8820012586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawkeye Medical, LLCGroup PAC ID 9032254685, 33 clinicians
CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

4231 Hwy 1192
Marksville, LA 71351-4711
Phone (318) 240-6000

5541 Hwy 1
Marksville, LA 71351-2650
Phone (318) 240-7240

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux65
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M1525TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Aug 7, 2020 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Aug 7, 2020 Accepting new patients
CLHG-Avoyelles LLC Surgery Current Accepting new patients
Hawkeye Medical, LLC CurrentSince Sep 19, 2024 Accepting new patients

Locations

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

Interoperability endpoints

  • Direct secure messaging: james.bordelon.1@16696.direct.athenahealth.com
  • Direct secure messaging: james.bordelon.1@30808.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allegiance Home Health of East Central LouisianaVille Platte, LA, CCN 197199 Home health agency 5% Or Greater Indirect Ownership Interest (10%) Mar 31, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1902836455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192",
            "address_2": "SUITE 300",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514771",
            "telephone_number": "318-253-7767",
            "fax_number": "318-253-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192",
            "address_2": "SUITE 300",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514711",
            "telephone_number": "318-253-7767",
            "fax_number": "318-253-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "JAMES",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M1525",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.201214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011959",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.