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NPI Code Detail

MEDICARE: CLAUDE WILLIAM GILBREATH M.D.

MEDICARE:   CLAUDE WILLIAM GILBREATH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician10557RLA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00132265OTHERLARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00174982OTHERLARRM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356324594
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDE WILLIAM GILBREATH M.D.
Provider Business Mailing Address
First Line : PO BOX 280
Second Line :
City : PONCHATOULA
State : LA
Zip : 70454-0280
Country : US
Telephone Number : 985-345-9606
Fax Number : 985-345-9616
Provider Business Practice Location Address
First Line : 16052 DOCTORS BLVD
Second Line :
City : HAMMOND
State : LA
Zip : 70403-1478
Country : US
Telephone Number : 985-345-9606
Fax Number : 985-345-9616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 08/06/2008

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Directions to “ CLAUDE WILLIAM GILBREATH M.D.” Practice Location

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