Joseph Yves Bordelon Jr., M.D.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

012611 Issued in LA

Practice address

1200 Hospital Dr
Suite 4
Opelousas, LA 70570-6552

Phone

(337) 948-7090

Fax

(337) 942-8108

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acadiana Practitioners LLCGroup PAC ID 4587924188, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Acadiana Medicine Clinic, Apmc

  • Internal Medicine Physician
  • Opelousas, LA
  • NPI 1245364819
  Medicare reassignment NPD Authorized official
• Acadiana Practitioners LLC

  • Rural Health Clinic/Center
  • Port Barre, LA
  • NPI 1346755154
  Medicare reassignment Care Compare group NPD
• Acadiana Practitioners LLC

  • Pharmacy
  • Opelousas, LA
  • NPI 1700773389
  NPD
• Acadiana Practitioners LLC

  • Rural Health Clinic/Center
  • Sunset, LA
  • NPI 1497372957
  NPD (past)

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

• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1972685279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR",
            "address_2": "SUITE 4",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706552",
            "telephone_number": "337-948-7090",
            "fax_number": "337-942-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR",
            "address_2": "SUITE 4",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706552",
            "telephone_number": "337-948-7090",
            "fax_number": "337-942-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "JOSEPH",
        "middle_name": "YVES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "LA",
            "license": "012611",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "012611",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "012611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309419",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "012611",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C. Scott Boagni, M.D.
• Joshua L Boagni
• Kristy Boagni, FNP
• Nicholas Scott Boies, NP
• Amy Bordelon, D.D.S.
• Boulet Medical Clinic
• Jeanette M Bourgeois, CRNA
• Nancy Fox Bourque, LCSW
• Maranda C Boutte
• Ladondra Kiante Bowles, MS

• Sleep Medicine (Internal Medicine) Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Sleep Medicine (Internal Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.

Verify at the official NPI Registry.