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DR. GARY BIRDSALL MEDICAL CLINIC LLC
NPI 1245667823
Family Medicine in Cut Off, LA

Active since September 27, 2013CLIA 19D2068507 · Waiver
102 W 112TH ST, CUT OFF, LA 70345(985) 632-5222(985) 632-4222 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Birdsall Medical Clinic Llc NPPES

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

DR. GARY BIRDSALL MEDICAL CLINIC LLC (NPI 1245667823) is a healthcare organization registered as a family medicine in Cut Off, Louisiana and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Gary Birdsall, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1245667823
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR. GARY BIRDSALL MEDICAL CLINIC LLC
Location Address102 W 112TH STCut Off, LA 70345-3628
Mailing Address102 W 112th StCut Off, LA 70345-3628 · (985) 632-5222 · Fax (985) 632-4222
Phone(985) 632-5222
Fax(985) 632-4222
Organization SubpartNo
Authorized OfficialGary BirdsallMd/owner · (985) 632-5222
Enumeration DateSeptember 27, 2013
Last NPPES UpdateMarch 21, 2014
✔ NPI 1245667823 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.
102 W 112TH ST, Cut Off, LA 70345
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Other Identifiers 2

Medicare UPINB64158
Medicaid1366145LA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2068507

Dr Gary Birdsall Clinic, LLC · Cut Off, LA
Active · expires Jan 10, 2027
CLIA Number19D2068507
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorGary Birdsall
Laboratory Phone(985) 632-5222
Laboratory LocationDr Gary Birdsall Clinic, LLC102 West 112th St, Cut Off, LA 70345
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

OCHSNER CLINIC LLC
General Practice
102 W 112TH ST
CUT OFF, LA 70345
Lafourche Parish (985) 632-1070
MR. BOBBY GENE DENSON JR. FNP-C
Nurse Practitioner (Family)
102 W 112TH ST
CUT OFF, LA 70345
Lafourche Parish (985) 632-5222
GARY JOSEPH BIRDSALL M.D.
Family Medicine
102 W 112TH ST
CUT OFF, LA 70345
Lafourche Parish (985) 632-5222
LAWRENCE JOSEPH HEBERT III FNP
Nurse Practitioner (Family)
102 W 112TH ST
CUT OFF, LA 70345
Lafourche Parish (985) 632-5222

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 Dr. Gary Birdsall Medical Clinic LLC's NPI number?

The NPI number for Dr. Gary Birdsall Medical Clinic LLC is 1245667823. It was assigned to this organization in the NPPES registry on September 27, 2013.

Where is Dr. Gary Birdsall Medical Clinic LLC located?

Dr. Gary Birdsall Medical Clinic LLC is located at 102 W 112th St, Cut Off, LA 70345. The listed phone number is (985) 632-5222.

What is Dr. Gary Birdsall Medical Clinic LLC's specialty?

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

Does Dr. Gary Birdsall Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2068507) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dr. Gary Birdsall Medical Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Dr. Gary Birdsall Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. Gary Birdsall Medical Clinic LLC was last updated on March 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.