DR. BARRY STEPHEN BORDENAVE M.D. NPI 1811017882

NPI Information

NPI: 1811017882
Provider Name: DR. BARRY STEPHEN BORDENAVE, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
321 OVERHILL DR
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 474-8886
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DR. Barry Stephen Bordenave, M.D. is an adolescent medicine pediatrics in Lake Charles, LA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Barry Stephen Bordenave, M.D. NPI is 1811017882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

321 OVERHILL DR
LAKE CHARLES, LA
ZIP 70605-527
Phone: (337) 474-8886

The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	13559	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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