DR. BERTRAND TILLERY JR. (NPI# 1700852241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700852241 |
Entity Type | Individual |
Full Name | DR. BERTRAND TILLERY JR. |
Credential | M.D. |
Practice Address |
4001 Gen Degaulle Dr Ste H Suite H New Orleans LA 70114-8298 |
Mailing Address |
4001 Gen Degaulle Dr Suite H New Orleans LA 70114-8220 |
Practice Telephone | 5043659906 |
Practice Fax Number | 5043659902 |
Mailing Telephone | 5043659906 |
Mailing Fax Number | 5043659902 |
Enumeration Date | 2006-02-24 |
Last Update Date | 2016-10-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 025561 | LA | Allopathic & Osteopathic Physicians |
Street Address |
4001 GEN DEGAULLE DR STE H SUITE H |
City | NEW ORLEANS |
State | LA |
Zip Code | 70114-8298 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144789645 | Reginald A Parquet | Social Worker | 3510 General Meyer Avenue, New Orleans, LA 70114 | 2019-03-14 |
1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
1003335522 | Samiyya Antoinette Degree | Case Manager/Care Coordinator | 1525 L B Landry Ave, New Orleans, LA 70114 | 2017-09-15 |
1972021533 | Latara Mack | Counselor | Louisiana Support Services 3630 Macarthur Blvd, New Orleans, LA 70114 | 2017-09-05 |
1053837419 | Jemal Causey | Counselor | 1210 Belleville Street, New Orleans, LA 70114 | 2017-08-17 |
1528590320 | Brandon Christopher Shelly | Case Manager/Care Coordinator | 1110 Thayer St, New Orleans, LA 70114 | 2017-03-30 |
1639618820 | Livegood At Home Care Services LLC | In Home Supportive Care | 1048 Flanders Street, New Oreans, LA 70114 | 2017-02-21 |
1215472733 | Shannon Newell | Counselor | 1927 Flanders, New Orleans, LA 70114 | 2016-12-20 |
1285177899 | Shannon Delavallade | Case Manager/Care Coordinator | 1300 Evelina St, New Orleans, LA 70114 | 2016-11-30 |
1770026395 | Grant Burns Jr. | Counselor | 3520 General Degaulle Dr Ste 4070, New Orleans, LA 70114 | 2016-11-30 |
Find all providers in zip 70114 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
1275163255 | Jihan Elizabeth Ripoll | Family Medicine | 10931 Kinneil Rd, New Orleans, LA 70127-1859 | 2020-01-18 |
1558914143 | Crystal Davis Taylor | Family Medicine | 3712 Macarthur Blvd Ste 202, New Orleans, LA 70114-6866 | 2019-07-22 |
1316424211 | Jessica Nicole Lee | Family Medicine | 2622 Palmyra St, New Orleans, LA 70119-6430 | 2018-07-24 |
1841728383 | Sagie Moshe Henig | Family Medicine | 1542 Tulane Ave Rm 123, New Orleans, LA 70112-2865 | 2017-05-29 |
1275940629 | Daughters of Charity Services of New Orleans | Family Medicine | 100 Warrington Dr, Suite A, New Orleans, LA 70122 | 2014-07-17 |
1770905770 | Tenille Ottley-sharpe | Family Medicine | 1532 Robert E. Lee Blvd., New Orleans, LA 70122 | 2014-01-09 |
1215280078 | Michael Patrick Dolan | Family Medicine | 2730 Saint Charles Ave, New Orleans, LA 70130-5930 | 2012-10-17 |
1003181306 | Christopher Keith Whipple | Family Medicine | 1829 Joseph St, New Orleans, LA 70115-5003 | 2012-03-20 |
Find all providers in NEW ORLEANS |
City | NEW ORLEANS |
Zip Code | 70114 |
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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.