Provider Demographics
NPI:1275558462
Name:HEBERT, HAROLD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JAMES
Last Name:HEBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 JEFFERSON TERRACE BLVD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4046
Mailing Address - Country:US
Mailing Address - Phone:337-365-8161
Mailing Address - Fax:337-365-0294
Practice Address - Street 1:510 JEFFERSON TERRACE BLVD.
Practice Address - Street 2:SUITE A
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4046
Practice Address - Country:US
Practice Address - Phone:337-365-8161
Practice Address - Fax:337-365-0294
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA010900207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1145777Medicaid
LA52268B292Medicare PIN
LAB89518Medicare UPIN
LA1145777Medicaid