JOHNNY RAY BIDDLE M.D. NPI 1902010952

NPI Information

NPI: 1902010952
Provider Name: JOHNNY RAY BIDDLE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3608 KIRKMAN ST
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 936-6893
Get Directions

Johnny Ray Biddle, M.D. is a family medicine in Lake Charles, 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. Johnny Ray Biddle, M.D. NPI is 1902010952. 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:

3608 KIRKMAN ST
LAKE CHARLES, LA
ZIP 70607-006
Phone: (337) 936-6893
Fax: (337) 564-0931

The NPI 1902010952 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 11/10/2015.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	174400000X	Specialist	05629R	LOUISIANA	No
2	208D00000X	General Practice	05629R	LOUISIANA	No
3	207Q00000X	Family Medicine	05629R	LOUISIANA	Yes

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
1	50341	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
2	1347795	MEDICAID	LOUISIANA
3	50341DT25	MEDICARE PIN	LOUISIANA
4	721098713	OTHER	LOUISIANA	TIN
5	B62332	MEDICARE UPIN	LOUISIANA

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

NPI Synchronization or Removal

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