Provider Demographics
NPI:1699805986
Name:STUART A. BEGNAUD,MD APMC
Entity Type:Organization
Organization Name:STUART A. BEGNAUD,MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MISSY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-981-5088
Mailing Address - Street 1:121 RUE LOUIS XIV BLDG 5B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5787
Mailing Address - Country:US
Mailing Address - Phone:337-981-5088
Mailing Address - Fax:337-981-7212
Practice Address - Street 1:121 RUE LOUIS XIV BLDG 5B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5787
Practice Address - Country:US
Practice Address - Phone:337-981-5088
Practice Address - Fax:337-981-7212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022162208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1490288Medicaid
LAG56386Medicare UPIN
LA5Y767Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER