Healthcare Provider Details

I. General information

NPI: 1699797571
Provider Name (Legal Business Name): BERNIE G. MCHUGH JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BERNIE G. MCHUGH MD

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 GRAMMONT ST STE 404
MONROE LA
71201-7403
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 318-323-1809
  • Fax: 318-323-2668
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number021731
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: