NPIMap

Organization Active NPI

Harold G Bienvenu III MD, Apmc

  • Facial Plastic Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1982650503
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
015116 Issued in LA
Legal business name
HAROLD G BIENVENU III MD, APMC
Practice address
711 Dr Michael Debakey Dr
Ste # 100
Lake Charles, LA 70601-5785
Phone
(337) 439-2040
Fax
(337) 439-2042
NPI assigned
May 25, 2006
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Harold G Bienvenu III, M.D.,APMCNPI 1497709307
Title
Owner
Phone
(337) 439-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 015116 LA Primary

Addresses

Primary practice location

711 Dr Michael Debakey Dr
Ste # 100
Lake Charles, LA 70601-5785

Mailing address

711 Dr Michael Debakey Drive
Ste # 100
Lake Charles, LA 70601-5785
Phone (337) 439-2040

Other identifiers 1

IdentifierTypeStateIssuer
015116OtherLASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

711 S Ryan St
Ste 100
Lake Charles, LA 70601
Phone (337) 439-2040

711 S Ryan St
Ste 100
Lake Charles, LA 70601
Phone (337) 439-2040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1982650503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DR MICHAEL DEBAKEY DRIVE",
            "address_2": "STE # 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015785",
            "telephone_number": "337-439-2040",
            "fax_number": "337-439-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DR MICHAEL DEBAKEY DR",
            "address_2": "STE # 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015785",
            "telephone_number": "337-439-2040",
            "fax_number": "337-439-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD G BIENVENU III MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "BIENVENU",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-439-2040",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D.,APMC"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "LA",
            "license": "015116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "015116",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.