BLACK-SMITH TRIO NPI 1134621592

NPI Information

  • NPI: 1134621592
  • Provider Name: BLACK-SMITH TRIO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: BAYOU REGION FAMILY PRACTICE
  • CLIA Number: 19D0461464
  • Address: 3915 DARNALL RD
    NEW IBERIA, LA
    ZIP 70560
  • Phone: (337) 365-1305

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NPI Details

BLACK-SMITH TRIO is a family medicine in New Iberia, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLACK-SMITH TRIO NPI is 1134621592. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bayou Region Family Practice.

The provider's business location address is:

3915 DARNALL RD
NEW IBERIA, LA
ZIP 70560-459
Phone: (337) 365-1305

The provider's authorized official is Samona Smith Drexler .
The authorized official title is Nurse Practitioner and has the following contact phone number (337) 356-5168.

The CLIA number assigned to this NPI record is 19D0461464 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2018 and was last updated on 8/21/2019.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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