THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1578360327
Surgery in Thibodaux, LA

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since February 28, 2025

604 N ACADIA RD, STE 207, THIBODAUX, LA 70301(985) 446-1763(985) 446-9813 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2025, May 28, 2025, Feb 28, 2025 (3 updates tracked since 2025).

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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 1578360327), doing business as Thibodaux Regional Surgical Specialty Clinic, is a healthcare organization registered as a surgery in Thibodaux, Louisiana and active in the NPI registry since February 2025. The organization lists Kim Legendre Boudreaux, Director Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1578360327

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Location Address604 N ACADIA RD, STE 207Thibodaux, LA 70301-4897

Mailing AddressPo Box 669400Dallas, TX 75266-9490 · (985) 493-4907 · Fax (985) 449-2585

Phone(985) 446-1763

Fax(985) 446-9813

Organization SubpartNo

Authorized OfficialKim Legendre BoudreauxDirector Of Contracting · (985) 493-4907

Enumeration DateFebruary 28, 2025

Last NPPES UpdateJune 2, 20253 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1578360327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

604 N ACADIA RD, Thibodaux, LA 70301

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Other Names 1

Doing Business AsThibodaux Regional Surgical Specialty Clinic

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thibodaux Regional Network Development Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

179

Medicare enrollment records show 179 clinicians reassign Medicare billing to Thibodaux Regional Network Development Corporation, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 81 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Nurse Practitioner36

Certified Registered Nurse Anesthetist (CRNA)32

Obstetrics/Gynecology15

Family Practice10

Anesthesiology8

Cardiovascular Disease (Cardiology)8

Internal Medicine8

Diagnostic Radiology7

22 other specialties55

Nearest to this location (20)

See all 179

Jennifer Atkins, M.D.

Pediatric Medicine

NPI 1457679300

604 N ACADIA RD STE 100
Thibodaux, LA 70301

(985) 447-9045

✔ PECOSSame address

Jonathan Babin, M.D.

General Surgery

NPI 1528329950

604 N ACADIA RD STE 207
Thibodaux, LA 70301

(985) 446-1763

✔ PECOS✔ Accepts MedicareSame address

Bradley Ber, MD

Family Practice

NPI 1063092351

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts MedicareSame address

John Bloss, M.D.

Obstetrics/Gynecology

NPI 1841394285

604 N ACADIA RD STE 500
Thibodaux, LA 70301

(985) 448-1216

✔ PECOS✔ Accepts MedicareSame address

Dedric Clarke, MD

Cardiac Electrophysiology

NPI 1508056441

602 N. ACADIA ROAD SUITE 101
Thibodaux, LA 70301

(985) 493-4993

✔ PECOS✔ Accepts MedicareSame address

Catherine Diebold, M.D.

Obstetrics/Gynecology

NPI 1649381617

604 N ACADIA RD STE 500
Thibodaux, LA 70301

(985) 448-1216

✔ PECOS✔ Accepts MedicareSame address

Nicole Dominique-Branley, MD

Pediatric Medicine

NPI 1104405216

604 N ACADIA RD STE 100
Thibodaux, LA 70301

(985) 447-9045

✔ PECOSSame address

Felicite' Duet

Nurse Practitioner

NPI 1356285225

602 N ACADIA RD
Thibodaux, LA 70301

(985) 791-6311

✔ PECOSSame address

Chad Dugas, M.D.

Cardiovascular Disease (Cardiology)

NPI 1306004841

602 N ACADIA RD STE 101
Thibodaux, LA 70301

(985) 493-4993

✔ PECOS✔ Accepts MedicareSame address

Trisha Folse, WHNP,MSN

Nurse Practitioner

NPI 1669583688

604 N ACADIA RD STE 500
Thibodaux, LA 70301

(985) 448-1216

✔ PECOS✔ Accepts MedicareSame address

Mark Hebert, MD

General Surgery

NPI 1801884812

604 N ACADIA RD SUITE 207
Thibodaux, LA 70301

(985) 446-1763

✔ PECOS✔ Accepts MedicareSame address

Ranese Jeffery, MD

Internal Medicine

NPI 1700440997

602 N ACADIA RD
Thibodaux, LA 70301

(985) 447-5500

✔ PECOS✔ Accepts MedicareSame address

Brian Marino, MD

General Surgery

NPI 1750379814

604 N ACADIA RD SUITE 207
Thibodaux, LA 70301

(985) 446-1763

✔ PECOS✔ Accepts MedicareSame address

Brian Parker, M.D.

Pulmonary Disease

NPI 1326208232

604 N ACADIA RD STE 411
Thibodaux, LA 70301

(985) 493-4933

✔ PECOS✔ Accepts MedicareSame address

David Patten, M.D.

Pulmonary Disease

NPI 1841463114

604 N ACADIA RD STE 411
Thibodaux, LA 70301

(985) 493-4933

✔ PECOS✔ Accepts MedicareSame address

Nicole Prosperie, MD

Obstetrics/Gynecology

NPI 1225229552

604 N ACADIA RD STE 500
Thibodaux, LA 70301

(985) 448-1216

✔ PECOS✔ Accepts MedicareSame address

Samuel Seyler, M.D.

Pulmonary Disease

NPI 1376923615

604 N ACADIA RD STE 411
Thibodaux, LA 70301

(985) 493-4933

✔ PECOS✔ Accepts MedicareSame address

Meagan Smith, M.D.

Pediatric Medicine

NPI 1700319969

604 N ACADIA RD SUITE 100
Thibodaux, LA 70301

(985) 447-9045

✔ PECOSSame address

Brittany Wyger, MD

Family Practice

NPI 1871849620

604 N ACADIA RD STE 406
Thibodaux, LA 70301

(985) 493-4146

✔ PECOS✔ Accepts MedicareSame address

Jared Gilmore, MD

Cardiovascular Disease (Cardiology)

NPI 1083685770

604 N ACADIA RD STE 409
Thibodaux, LA 70301

(985) 449-4670

✔ PECOS✔ Accepts MedicareSame address

See all 179 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Thibodaux Regional Network Development Corporation's NPI number?

The NPI number for Thibodaux Regional Network Development Corporation is 1578360327. It was assigned to this organization in the NPPES registry on February 28, 2025. The provider is doing business as Thibodaux Regional Surgical Specialty Clinic.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 604 N Acadia Rd Ste 207, Thibodaux, LA 70301. The listed phone number is (985) 446-1763.

What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thibodaux Regional Network Development Corporation enrolled in Medicare?

Yes. Thibodaux Regional Network Development Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thibodaux Regional Network Development Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 179 clinicians in 30 Medicare specialties reassign their Medicare billing to Thibodaux Regional Network Development Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32) and Obstetrics/Gynecology (15). Of these, 23 practice at this address and 81 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thibodaux Regional Network Development Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Network Development Corporation 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 Thibodaux Regional Network Development Corporation was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.