THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1306125133
Internal Medicine in Thibodaux, LA

Q: What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 10, 2011

900 N CANAL BLVD, THIBODAUX, LA 70301(985) 493-4004(985) 493-4007 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Dec 1, 2025, May 9, 2024 and 3 more (6 updates tracked since 2020).

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About Thibodaux Regional Network Development Corporation NPPES

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

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI 1306125133), doing business as Thibodaux Regional Internal Medicine Clinic, is a healthcare organization registered as an internal medicine in Thibodaux, Louisiana and active in the NPI registry since August 2011. The organization maintains a secondary practice location in Thibodaux and lists Kim Legendre Boudreaux, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1306125133

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Location Address900 N CANAL BLVDThibodaux, LA 70301-8096

Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 493-4907 · Fax (985) 449-2585

Phone(985) 493-4004

Fax(985) 493-4007

Organization SubpartNo

Authorized OfficialKim Legendre BoudreauxContract Manager · (985) 493-4907

Enumeration DateAugust 10, 2011

Last NPPES UpdateJune 1, 20266 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1306125133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

900 N CANAL BLVD, Thibodaux, LA 70301

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Other Names 1

Doing Business AsThibodaux Regional Internal Medicine Clinic

Secondary Practice Location 1

Location 1400 N Acadia RdThibodaux, LA 70301-4856 · Phone (985) 493-4004 · Fax (985) 493-4007

Other Identifiers 1

Medicaid2403915LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Other Providers at the Same Location NPPES 6

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

DR. CAMILE LOUIS CHIASSON OD

Optometrist