YOUNGSVILLE MEDICAL CLINIC
NPI 1689696270
Internal Medicine in Broussard, LA

Active since July 24, 2006CLIA 19D1050417 · Waiver
811 ALBERTSON PKWY STE F, BROUSSARD, LA 70518(337) 837-3615(337) 839-8097 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2022, Nov 10, 2020, Apr 14, 2020 and 1 more (4 updates tracked since 2020).

About Youngsville Medical Clinic NPPES

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

YOUNGSVILLE MEDICAL CLINIC (NPI 1689696270) is a healthcare organization registered as an internal medicine in Broussard, Louisiana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Jorge Rafael Belgodere-bonilla, Md, as its authorized official.

NPPES Registry Identity

NPI1689696270
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameYOUNGSVILLE MEDICAL CLINIC
Location Address811 ALBERTSON PKWY STE FBroussard, LA 70518-5256
Mailing Address811 Albertson Pkwy Ste FBroussard, LA 70518-5256 · (337) 837-3615 · Fax (337) 839-8097
Fax(337) 839-8097
Organization SubpartNo
Authorized OfficialJorge Rafael Belgodere-bonillaMd · (337) 837-3615
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 12, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1689696270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
811 ALBERTSON PKWY STE F, Broussard, LA 70518

Other Identifiers 1

OtherH3327LA · Blue Cross Blue Shield

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

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 19D1050417

Youngsville Medical Clinic LLC · Broussard, LA
Active · expires Jan 4, 2027
CLIA Number19D1050417
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorCristy L. Belgodere
Laboratory Phone(337) 837-3615
Laboratory LocationYoungsville Medical Clinic LLC811 Albertson Pkwy, Ste F, Broussard, LA 70518
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
811 ALBERTSON PKWY STE F
BROUSSARD, LA 70518

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 Youngsville Medical Clinic's NPI number?

The NPI number for Youngsville Medical Clinic is 1689696270. It was assigned to this organization in the NPPES registry on July 24, 2006.

Where is Youngsville Medical Clinic located?

Youngsville Medical Clinic is located at 811 Albertson Pkwy Ste F, Broussard, LA 70518. The listed phone number is (337) 837-3615.

What is Youngsville Medical Clinic's specialty?

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

Does Youngsville Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1050417) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Youngsville Medical Clinic accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Youngsville Medical Clinic 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 Youngsville Medical Clinic was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.