Individual provider Active NPI

Bryan Edward Baudoin, DO

  • Anesthesiology Physician
  • Sunrise, FL
National Provider Identifier
1922078849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
021540 Issued in LA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000112 LA Practitioner - AnesthesiologyPractitioner - Emergency Medicine 4981689221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1000 W Pinhook Rd
Suite 305
Lafayette, LA 70503-2460
Phone (337) 235-1600

Hospital & facility affiliations

  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021540LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures Inc. Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Lafayette Health Ventures Inc Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc Anesthesiology PastSince Jul 1, 1995 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.