VICTOR THERIAULT MD
NPI 1164500906
Family Medicine in Bogalusa, LA

Active since November 01, 2006
712 WILLIS AVE, BOGALUSA, LA 70427(985) 732-4853 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victor Theriault Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR THERIAULT MD (NPI 1164500906) is a healthcare organization registered as a family medicine in Bogalusa, Louisiana and active in the NPI registry since November 2006. The organization lists Victor Theriault, President, as its authorized official.

NPPES Registry Identity

NPI1164500906
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVICTOR THERIAULT MD
Location Address712 WILLIS AVEBogalusa, LA 70427-3004
Mailing Address712 Willis AveBogalusa, LA 70427-3004 · (985) 732-4853
Organization SubpartNo
Authorized OfficialVictor TheriaultPresident · (985) 732-4853
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1164500906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
712 WILLIS AVE, Bogalusa, LA 70427

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
712 WILLIS AVE
BOGALUSA, LA 70427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Theriault MD's NPI number?

The NPI number for Victor Theriault MD is 1164500906. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Victor Theriault MD located?

Victor Theriault MD is located at 712 Willis Ave, Bogalusa, LA 70427. The listed phone number is (985) 732-4853.

What is Victor Theriault MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Victor Theriault MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.