Jefferson Medical Group, Llc

LBN: Jefferson Medical Group, Llc
Jefferson Medical Group, Llc is an health care organization with primary practice located at 4228 Houma Blvd Ste. 600D, Metairie LA 70006-3000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jefferson Medical Group, Llc can be contacted via phone (504) 885-3003, or through Collins, Bradley T. via phone (504) 342-4708.

Contact Information

Primary practice address
4228 Houma Blvd Ste. 600D Metairie LA 70006-3000
Phone: (504) 885-3003
Fax: (504) 885-3004
Website:
Map and Directions
Authorized official contact:
Name: Collins, Bradley T. Doctor of Medicine (MD)
Phone: (504) 342-4708

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1912962150
LBN Legal business name Jefferson Medical Group, Llc
DBA Doing business as
Authorized official Collins, Bradley T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912962150 NPPES
Louisiana MEDICAID 1444464

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