JOHN L FAMBROUGH M.D. NPI 1659314623

NPI Information

  • NPI: 1659314623
  • Provider Name: JOHN L FAMBROUGH, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 15781 PROFESSIONAL PLZ
    HAMMOND, LA
    ZIP 70403
  • Phone: (985) 542-1533

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NPI Details

John L Fambrough, M.D. is a specialist in Hammond, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. John L Fambrough, M.D. NPI is 1659314623. 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:

15781 PROFESSIONAL PLZ
HAMMOND, LA
ZIP 70403-452
Phone: (985) 542-1533
Fax: (985) 542-6713

The enumeration date for this NPI number is 6/14/2006 and was last updated on 2/24/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist011330LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11172561MEDICAIDLOUISIANA
2B63518MEDICARE UPINLOUISIANA
31257600001MEDICARE NSCLOUISIANA
451992C490OTHERLOUISIANAMEDICARE PTAN
551992MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA

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: 11/21/2025

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