Healthcare Provider Details

I. General information

NPI: 1912886615
Provider Name (Legal Business Name): BADEAUX MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 ATTAKAPAS DR STE 402
OPELOUSAS LA
70570-6557
US

IV. Provider business mailing address

1270 ATTAKAPAS DR STE 402
OPELOUSAS LA
70570-6557
US

V. Phone/Fax

Practice location:
  • Phone: 337-948-4030
  • Fax: 888-720-0474
Mailing address:
  • Phone: 337-948-4030
  • Fax: 888-720-0474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAMIAN BADEAUX
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 337-948-4030