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PEDIATRIC GROUP OF ACADIANA, LLC
NPI 1255941829
Clinic/Center - Rural Health in Breaux Bridge, LA

Active since August 07, 2020
555 LAKES BLVD, BREAUX BRIDGE, LA 70517(337) 332-3971 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Group Of Acadiana, Llc NPPES

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

PEDIATRIC GROUP OF ACADIANA, LLC (NPI 1255941829), doing business as Pediatric Group Of Acadiana, is a healthcare organization registered as a rural health in Breaux Bridge, Louisiana and active in the NPI registry since August 2020. The organization lists Alec Moyer, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1255941829
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC GROUP OF ACADIANA, LLC
Location Address555 LAKES BLVDBreaux Bridge, LA 70517-3240
Mailing Address401 Youngsville Hwy Ste 100Lafayette, LA 70508-5173 · (337) 256-5111
Phone(337) 332-3971
Organization SubpartNo
Authorized OfficialAlec MoyerBusiness Manager · (337) 330-8336
Enumeration DateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
✔ NPI 1255941829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
555 LAKES BLVD, Breaux Bridge, LA 70517
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Other Names 1

Doing Business AsPediatric Group Of Acadiana

Other Providers at the Same Location NPPES 5

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

DR. SRINIVASA REDDY YERASI M.D
Pediatrics
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3971
DR. KIRANMAI BANDARU M.D.
Pediatrics
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3971
SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC
Clinic/Center (Rural Health)
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3971
YERASI PEDIATRIC AND FAMILY GROUP OF ACADIANA LLC
Pediatrics
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (270) 246-0568
SKAT HEALTH CARE
Pediatrics
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3975

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 Pediatric Group Of Acadiana, LLC's NPI number?

The NPI number for Pediatric Group Of Acadiana, LLC is 1255941829. It was assigned to this organization in the NPPES registry on August 7, 2020. The provider is doing business as Pediatric Group of Acadiana.

Where is Pediatric Group Of Acadiana, LLC located?

Pediatric Group Of Acadiana, LLC is located at 555 Lakes Blvd, Breaux Bridge, LA 70517. The listed phone number is (337) 332-3971.

What is Pediatric Group Of Acadiana, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Pediatric Group Of Acadiana, LLC was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.