LUIS BOGRAN-REYES (NPI# 1124062948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124062948 |
| Entity Type | Individual |
| Full Name | LUIS BOGRAN-REYES |
| Credential | M.D. |
| Practice Address |
1990 Industrial Blvd Houma LA 70363-7055 |
| Practice Telephone | 9858689300 |
| Practice Fax Number | 9858510053 |
| Mailing Telephone | 9858689300 |
| Mailing Fax Number | 9858510053 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 012553 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1321605 | 05 | |
| LA | RAILROAD MEDICARE | 20051204 | 01 |
| Street Address |
1990 INDUSTRIAL BLVD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183401 | Shaminder Mohan Gupta | Internal Medicine | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2005-06-09 |
| 1528620564 | Paige M Robichaux | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2019-06-30 |
| 1871079822 | Amanda Graham Lucas | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2018-07-12 |
| 1104312560 | Nina Claire Broussard | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2018-07-09 |
| 1972024099 | Britney Haydel | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2017-06-28 |
| 1881145258 | Corey Dupre | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-10-20 |
| 1609228477 | Matthew Phillip James | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-07-05 |
| 1801240726 | Stephen Kyle Jones | Anesthesiology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-04-17 |
| 1164889382 | Brandi Lecompte | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-01-19 |
| 1952778623 | Amber Wooldridge Sevin | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2015-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295995405 | Jeffrey Frederick Rau | Surgery | 5619 Highway 311 Ste C, Houma, LA 70360-5595 | 2008-06-11 |
| 1598817389 | David John Rau | Surgery | 5619 Highway 311, Suite A, Houma, LA 70360-5595 | 2007-01-18 |
| 1518019314 | Frederick Jerome Rau | Surgery | 5619 Highway 311 Ste A, Houma, LA 70360-5595 | 2007-01-18 |
| 1952389199 | Haydel Surgical Clinic | Surgery | 502 Barrow St, Houma, LA 70360-4606 | 2006-01-06 |
| 1639498629 | Neil Lyons | Surgery | 144 Valhi Lagoon Xing, Houma, LA 70360-3208 | 2010-05-31 |
| 1922150754 | Bayou Surgical Specialists, L.L.C. | Surgery | 5619 Highway 311 Ste A, Houma, LA 70360-5595 | 2007-01-18 |
| 1972655744 | Eric Henry Rau | Surgery | 5619 Highway 311, Suite A, Houma, LA 70360-5595 | 2007-01-18 |
| 1710039532 | Donald Paul Schwab | Surgery | 5619 Highway 311 Ste A, Houma, LA 70360-5595 | 2007-01-18 |
| 1962445015 | Michael K Butler | Surgery | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2006-06-14 |
| 1184665127 | Michael J Garcia | Surgery | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-06-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.