Robert P Blereau LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

009089 Issued in LA

Legal business name

ROBERT P BLEREAU LTD

Practice address

1122 Eighth St
Morgan City, LA 70380-1987

Phone

(985) 385-3000

Fax

(985) 385-3002

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Juanita Vaughn

Title

Office Manager

Phone

(985) 385-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Blereau MD Doing business as

Locations

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1942523675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 EIGHTH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801987",
            "telephone_number": "985-385-3000",
            "fax_number": "985-385-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 EIGHTH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801987",
            "telephone_number": "985-385-3000",
            "fax_number": "985-385-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P BLEREAU LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-385-3000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "009089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083828",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Blereau MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.