Individual
CLAUDE WILLIAM GILBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16052 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 345-9606
(985) 345-9616
Mailing address
PO BOX 280, PONCHATOULA, LA 70454-0280
(985) 345-9606
(985) 345-9616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10557R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659304
—
LA
01
—
P00132265
RAILROAD MEDICARE
LA
01
—
P00174982
RRM
LA
Enumeration date
11/22/2005
Last updated
08/06/2008
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