COOLIDGE LOCATION
NPI 1760612865
Urology in Lafayette, LA

Q: What is Southern Urology LLC's NPI number?

The NPI number for Southern Urology LLC is 1760612865. It was assigned to this organization in the NPPES registry on July 23, 2009. The provider is also known as Coolidge Location.

Q: What is Southern Urology LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since July 23, 2009

1016 COOLIDGE BLVD, LAFAYETTE, LA 70503(337) 233-6665(337) 233-0327 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coolidge Location NPPES

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

COOLIDGE LOCATION (NPI 1760612865) is a healthcare organization registered as an urology in Lafayette, Louisiana and active in the NPI registry since July 2009. The organization lists Edward F Breaux, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1760612865

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSOUTHERN UROLOGY LLC

Location Address1016 COOLIDGE BLVDLafayette, LA 70503-2436

Mailing AddressPo Box 54028Lafayette, LA 70505-4028 · (337) 233-6665 · Fax (337) 233-0327

Phone(337) 233-6665

Fax(337) 233-0327

Organization SubpartNo

Authorized OfficialEdward F BreauxManaging Member · (337) 233-6665

Enumeration DateJuly 23, 2009

Last NPPES UpdateJanuary 4, 2010

✔ NPI 1760612865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1016 COOLIDGE BLVD, Lafayette, LA 70503

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Other Names 1

Other NameCoolidge Location

Other Identifiers 3

Medicare NSC6286180002LA

Other5DF66LA · Medicare

Medicaid1305308LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

SCOTT M NEUSETZER M.D.

Urology