Healthcare Provider Details

I. General information

NPI: 1902989833
Provider Name (Legal Business Name): MORGAN BRUCE FEIBELMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 12/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 POYDRAS ST SUITE 1780
NEW ORLEANS LA
70130-3245
US

IV. Provider business mailing address

7030 SAINT CHARLES AVE
NEW ORLEANS LA
70118-3540
US

V. Phone/Fax

Practice location:
  • Phone: 504-322-3837
  • Fax: 504-322-3847
Mailing address:
  • Phone: 504-296-8410
  • Fax: 504-322-3847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number026202
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: