Individual provider Active NPI

Bronwyn Leblanc, MD

  • Nephrology Physician
  • Metairie, LA
National Provider Identifier
1922448372
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
302079 Issued in LA
Practice address
4424 Conlin St Ste 2B
Metairie, LA 70006-2147
Phone
(504) 888-8717
Fax
(504) 888-8730
NPI assigned
Jun 30, 2013
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T-2686 MS
Nephrology Physician 207RN0300X 302079 LA Primary
Internal Medicine Physician 207R00000X 302079 LA

Addresses

Primary practice location

4424 Conlin St Ste 2B
Metairie, LA 70006-2147

Mailing address

4424 Conlin St Ste 2B
Metairie, LA 70006-2147
Phone (504) 888-8717

Other practice location 1

4601 Highway 1
Raceland, LA 70394-2624
Phone (504) 888-8717

Other practice location 2

2504 Highway 20
Vacherie, LA 70090-5600
Phone (504) 888-8717

Other practice location 3

3333 Bienville St
New Orleans, LA 70119-5330
Phone (504) 888-8717

Other practice location 4

4020 Paris Rd
Chalmette, LA 70043-1362
Phone (504) 277-8423

Other practice location 5

2700 W Airline Hwy
LA Place, LA 70068-2920
Phone (504) 888-8717

Other practice location 6

1661 La-3125
Gramercy, LA 70052
Phone (504) 888-8717

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
I20180723000217 LA Practitioner - NephrologyPractitioner - Internal Medicine 1355654575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

4225 Lapalco Blvd
Marrero, LA 70072-4338
Phone (504) 371-9355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-2686MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Dec 9, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 9, 2023 Accepting new patients
Southern Kidney Specialists - Gretna LLC PastSince Feb 9, 2020 Accepting new patients
Nephrology Associates PastSince Mar 1, 2020 Accepting new patients

Locations

1057 Paul Maillard Rd
Ste 210
Luling, LA 70070
Phone (504) 722-9086

4225 Lapalco Blvd
Marrero, LA 70072
Phone (504) 391-7337

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 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": "1372550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1922448372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CONLIN ST STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062147",
            "telephone_number": "504-888-8717",
            "fax_number": "504-888-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 CONLIN ST STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062147",
            "telephone_number": "504-888-8717",
            "fax_number": "504-888-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "703942624",
            "country_code": "US",
            "telephone_number": "504-888-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 Highway 20",
            "address_purpose": "LOCATION",
            "city": "Vacherie",
            "state": "LA",
            "postal_code": "700905600",
            "country_code": "US",
            "telephone_number": "504-888-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Bienville St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701195330",
            "country_code": "US",
            "telephone_number": "504-888-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 Paris Rd",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700431362",
            "country_code": "US",
            "telephone_number": "504-277-8423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W Airline Hwy",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700682920",
            "country_code": "US",
            "telephone_number": "504-888-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 LA-3125",
            "address_purpose": "LOCATION",
            "city": "Gramercy",
            "state": "LA",
            "postal_code": "70052",
            "country_code": "US",
            "telephone_number": "504-888-8717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "BRONWYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-30",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "T-2686",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "302079",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "302079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.