DIVERSIFIED MEDICAL SERVICES, LLC
NPI 1760017305
Nurse Practitioner - Family in Gonzales, LA

Q: What is Diversified Medical Services, LLC's NPI number?

The NPI number for Diversified Medical Services, LLC is 1760017305. It was assigned to this organization in the NPPES registry on March 4, 2020.

Q: What is Diversified Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 04, 2020

2305 S PURPERA AVE, GONZALES, LA 70737(225) 644-1028 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Diversified Medical Services, Llc NPPES

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

DIVERSIFIED MEDICAL SERVICES, LLC (NPI 1760017305) is a healthcare organization registered as a family in Gonzales, Louisiana and active in the NPI registry since March 2020. The organization lists Anthony Salvatore Brocato, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1760017305

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDIVERSIFIED MEDICAL SERVICES, LLC

Location Address2305 S PURPERA AVEGonzales, LA 70737-5427

Mailing Address106 Tenth StBay St Louis, MS 39520-2409 · (985) 249-1683

Phone(225) 644-1028

Organization SubpartNo

Authorized OfficialAnthony Salvatore BrocatoBusiness Manager · (985) 249-1683

Enumeration DateMarch 4, 2020

NPPES CertifiedMarch 4, 2020

✔ NPI 1760017305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

2305 S PURPERA AVE, Gonzales, LA 70737

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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

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 Diversified Medical Services, LLC's NPI number?

The NPI number for Diversified Medical Services, LLC is 1760017305. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is Diversified Medical Services, LLC located?

Diversified Medical Services, LLC is located at 2305 S Purpera Ave, Gonzales, LA 70737. The listed phone number is (225) 644-1028.

What is Diversified Medical Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Diversified Medical Services, LLC was last updated on March 4, 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.