Healthcare Provider Details

I. General information

NPI: 1205829314
Provider Name (Legal Business Name): STUART ANTHONY BEGNAUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 12/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 RUE LOUIS XIV BLDG 5 SUITE B
LAFAYETTE LA
70508-5787
US

IV. Provider business mailing address

121 RUE LOUIS XIV BUILDING 5 SUITE B
LAFAYETTE LA
70508-5787
US

V. Phone/Fax

Practice location:
  • Phone: 337-981-5088
  • Fax: 337-981-7212
Mailing address:
  • Phone: 337-981-5088
  • Fax: 337-981-7212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number022162
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number22162
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: