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GEORGE JUDE BARES MD APMC NPI 1134116064


NPI Information

NPI: 1134116064
Provider Name: GEORGE JUDE BARES MD APMC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 19D0975991

Address:
4650 AMBASSADOR CAFFERY PKWY
SUITE 201
LAFAYETTE, LA
ZIP 70508
Phone: (337) 988-2345
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GEORGE JUDE BARES MD APMC is a pediatrics in Lafayette, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GEORGE JUDE BARES MD APMC NPI is 1134116064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4650 AMBASSADOR CAFFERY PKWY
SUITE 201
LAFAYETTE, LA
ZIP 70508-926
Phone: (337) 988-2345

The provider's authorized official is George J. Bares .
The authorized official title is Owner/md and has the following contact phone number (337) 261-5151.

The CLIA number assigned to this NPI record is 19D0975991 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 2/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11662917MEDICAIDLOUISIANA
25DB96MEDICARE PINLOUISIANA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.