Provider Type Icon

JOSEPH B BOUCREE JR INC NPI 1588936702


NPI Information

NPI: 1588936702
Provider Name: JOSEPH B BOUCREE JR INC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
1570 LINDBERG DR STE 8
SLIDELL, LA
ZIP 70458
Phone: (985) 205-3456
Get Directions

JOSEPH B BOUCREE JR INC is an orthopaedic surgery of the spine orthopaedic surgery in Slidell, LA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. JOSEPH B BOUCREE JR INC NPI is 1588936702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1570 LINDBERG DR STE 8
SLIDELL, LA
ZIP 70458-084
Phone: (985) 205-3456
Fax: (985) 288-0047

The provider's authorized official is Kim Ryals .
The authorized official title is Front Office Manager and has the following contact phone number (985) 205-3456.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 10/12/2015.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine020305LOUISIANAYes

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
15DW76MEDICARE 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: 4/28/2024

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.