MANLEY MCRAE JORDAN MD NPI 1932118296

NPI Information

  • NPI: 1932118296
  • Provider Name: MANLEY MCRAE JORDAN, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2770 3RD AVE
    SUITE 110
    LAKE CHARLES, LA
    ZIP 70601
  • Phone: (337) 494-2750

Map and Directions

Get Directions

NPI Details

Manley Mcrae Jordan, MD is a pulmonary disease internal medicine in Lake Charles, LA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Manley Mcrae Jordan, MD NPI is 1932118296. 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:

2770 3RD AVE
SUITE 110
LAKE CHARLES, LA
ZIP 70601-994
Phone: (337) 494-2750
Fax: (337) 494-2760

The NPI 1932118296 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 8/5/2006 and was last updated on 12/2/2015.

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 Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease017837LOUISIANAYes

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
1P00221352OTHERLOUISIANARAILROAD MEDICARE
21468444MEDICAIDLOUISIANA
3$$$$$$$$$0OTHERLOUISIANABLUE CROSS BLUE SHIELD
44J132MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
5E04248MEDICARE UPINLOUISIANA

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI