Bronwyn Leblanc, MD
Individual provider Active NPI Nephrology Physician · Metairie, LA
NPI 1922448372 · NPPES record last updated May 8, 2020
Key facts
- NPI
- 1922448372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 302079 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nephrology
- 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 LLC
Practice addresses (Care Compare)
4225 Lapalco Blvd
Marrero, LA 70072-4338
Phone (504) 371-9355
Hospital & facility affiliations
- Ochsner Kidney Care - Marrero
- Ochsner Medical Center Acute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180723000217 | LA | Practitioner - Nephrology |
1355654575 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302079 | LA | MD | Internal Medicine Physician |
| T-2686 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Internal Medicine | Current |
Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Southern Kidney Specialists - Gretna LLC | Past |
Accepting new patients | |
| Nephrology Associates | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T-2686 | MS | |
| Nephrology Physician | 207RN0300X | 302079 | LA | Yes |
| 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
Other providers in Metairie, LA
- Emma Elizabeth Leaumont
- Hailie Leaumont
- David Wayne Lebeauf Jr.
- Anna Lou Leblanc
- Brandy R Leblanc
- Bryce Joseph Leblanc Jr.
- Cayley Elizabeth Leblanc
- Debra Ann Leblanc
- Grace Britsch Leblanc
- Jessica Leblanc
All providers in Metairie, LA · Nephrology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.