# BRADLEY J. CHASTANT, II MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356622336
- **Authorized official:** DR. BRADLEY JOHN CHASTANT II M.D. (PHYSICIAN)
- **Authorized official phone:** (337) 289-8717

## Contact information

- **Practice address:** 461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
- **Practice address phone:** (337) 289-8717
- **Practice address fax:** (337) 289-8718
- **Mailing address:** 461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
- **Mailing address phone:** (337) 289-8717
- **Mailing address fax:** (337) 289-8718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD204845 | LA | Yes |

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 05/07/2013