Active NPI
Bryan Edward Baudoin, DO
- Anesthesiology Physician
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 021540
- Practice address
- 1613 NW 136TH Ave
Suite #200
Sunrise, FL 33323-2853 - Phone
- (954) 838-2371
- Fax
- (954) 851-1758
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 021540 | LA | Primary |
Addresses
Primary practice location
1613 NW 136TH Ave
Suite #200
Sunrise, FL 33323-2853
Mailing address
PO Box 452015
Sunrise, FL 33345-2015
Phone (800) 437-2672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 W Pinhook Rd
Suite 305
Lafayette, LA 70503-2460
Phone (337) 235-1600
Hospital & facility affiliations
- Acadia General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021540 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc. | Anesthesiology | Current | Accepting new patients |
| Lafayette Health Ventures Inc | Anesthesiology | Current | Accepting new patients |
| Mid-Louisiana Anesthesia Consultants, Apmc | Anesthesiology | Past | Accepting new patients |
| Professional Anesthesia Consultants, LLP | Anesthesiology | Past | Accepting new patients |
Locations
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1000 W Pinhook Rd
Ste 305
Lafayette, LA 70503
Phone (337) 235-1600
1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
Interoperability endpoints
- bbaudoin1443244@direct.ochsner.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1831780394
Anesthesiology
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1720071525
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crowley, LA
- NPI 1669882940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922078849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452015",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452015",
"telephone_number": "800-437-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 NW 136TH AVE",
"address_2": "SUITE #200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUDOIN",
"first_name": "BRYAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "021540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.