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HEATHER BRONAUGH MD LLC NPI 1215127824


NPI Information

NPI: 1215127824
Provider Name: HEATHER BRONAUGH, MD, LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1051 GAUSE BLVD STE 260
SLIDELL, LA
ZIP 70458
Phone: (985) 781-9002
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HEATHER BRONAUGH, MD, LLC is a surgery in Slidell, LA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. HEATHER BRONAUGH, MD, LLC NPI is 1215127824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1051 GAUSE BLVD STE 260
SLIDELL, LA
ZIP 70458-992
Phone: (985) 781-9002
Fax: (985) 781-0200

The provider's authorized official is Heather Rae Bronaugh .
The authorized official title is President/owner and has the following contact phone number (985) 781-9002.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 11/23/2010.


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
1208600000XSurgery025950LOUISIANAYes

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
1DF0787OTHERLOUISIANARAILROAD MEDICARE GROUP NUMBER
2P00336861OTHERLOUISIANARAILROAD MEDICARE PIN
34J796CR31MEDICARE PINLOUISIANA
41420271MEDICAIDLOUISIANA
5I36982MEDICARE UPINLOUISIANA
61144211632OTHERLOUISIANAINDIVIDUAL NPI

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

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