Edward F Breaux
SOUTHERN UROLOGY, LLC


Address: 1016 Coolidge Blvd, Lafayette, LA 70503-2436
Phone: 3372336665

Edward F Breaux (NPI# 1659469542, PAC ID# 5496731721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1659469542
PAC ID by PECOS 5496731721
Professional Enrollment ID I20080701000014
Full Name Edward F Breaux
Organization Legal Name SOUTHERN UROLOGY, LLC
Address 1016 Coolidge Blvd
Lafayette
LA 70503-2436
Phone Number 3372336665
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1982
Primary Specialty UROLOGY
Group Practice PAC ID 5597833772
Number of Group Practice Members 25
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190002 LAFAYETTE GENERAL MEDICAL CENTER
190102 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
190255 PARK PLACE SURGICAL HOSPITAL
190259 LAFAYETTE SURGICAL SPECIALTY HOSPITAL
191302 ST MARTIN HOSPITAL

Other Locations

Address Phone Organization
1016 Coolidge Blvd, Lafayette, LA 70503-2436 3372336665 SOUTHERN UROLOGY, LLC
120 Rue Louis Xiv, Lafayette, LA 70508-5739 3377697779 SOUTHERN UROLOGY, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 93%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name SOUTHERN UROLOGY, LLC
Physicians 24

Physicians with the same organization

Name Specialty Organization Address
Laura Gamble Owens Urology Southern Urology, LLC 1926 S Union St, Opelousas, LA 70570-5725
Scott Neusetzer Urology Southern Urology, LLC 1016 Coolidge Blvd, Lafayette, LA 70503-2436
Marcel Lahaye Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Frank R Bacque Urology Southern Urology, LLC 602 Saint Landry St, Lafayette, LA 70506-4628
Samuel H Shuffler Urology Southern Urology, LLC 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460
Jason Bourque Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
William B Roth Urology Southern Urology, LLC 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460
Jacob Edward Landry General Surgery Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
David A Jones Radiation Oncology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739
Jeffrey J Thibodeaux Urology Southern Urology, LLC 120 Rue Louis Xiv, Lafayette, LA 70508-5739

Office Location

Street Address 1016 COOLIDGE BLVD
City LAFAYETTE
State LA
Zip 70503-2436

Physicians in the same location

Name Specialty Organization Address
Scott Neusetzer Urology Southern Urology, LLC 1016 Coolidge Blvd, Lafayette, LA 70503-2436
Jeannette Chassaignac Urology Southern Urology, LLC 1016 Coolidge Blvd, Lafayette, LA 70503-2436
Jeremy Stephen Speeg Urology Southern Urology, LLC 1016 Coolidge Blvd, Lafayette, LA 70503-2436

Physicians in the same zip code

Name Specialty Organization Address
Byrnes E Tatford Physical Therapy Mts-lgh Therapy Services LLC 111 Pasa Place, Lafayette, LA 70503
John M Bienvenu Physical Therapy Mts-lgh Therapy Services LLC 111 Pasa Place, Lafayette, LA 70503
Zachary J Mire Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Kerry J.c Hoffpauir Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Rodi L Aucoin Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Jeffrey T Faber Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Francesca Marie Marino Chiropractic Leblanc Spine and Nerve, LLC 1014 Auburn Ave, Lafayette, LA 70503-2360
Jiles P Leblanc Chiropractic Leblanc Spine and Nerve, LLC 1014 Auburn Ave, Lafayette, LA 70503-2360
Christopher B Davis Physical Therapy Pain and Performance Rehab Inc 325 Oil Ctr Dr, Lafayette, LA 70503-2419
Derrick Hines Physical Therapy Pain and Performance Rehab Inc 325 Oil Ctr Dr, Lafayette, LA 70503-2419
Find all physicians in zip 70503

Competitor

Search similar physicians

City LAFAYETTE
Zip Code 70503
Specialty UROLOGY
City + Specialty LAFAYETTE + UROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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