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NPI · 1104534965 · NPPES-sourced

Southern Urology LLC

ActiveUrology Physician
NPI Number
1104534965
Type 2 · Organisation
Taxonomy Code
208800000X
Contact
(337) 408-8676
Primary practice line
Last Updated
Enumerated
Primary practice addressLA · 70560-4029
2308 E Main St Ste ANew Iberia, LA 70560-4029
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About this NPIWhat this record shows.

NPI 1104534965 is registered to Southern Urology LLC, a healthcare organisation classified as "Urology Physician" and located at 2308 E Main St Ste A in New Iberia, Louisiana. The organisation's authorised official is Mark Eldredge. The organisation has been enumerated in the NPI registry since 2022.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southern Urology LLC accepts. To confirm in-network status with your specific health plan, contact Southern Urology LLC directly at (337) 408-8676.

Frequently asked

Yes. NPI 1104534965 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Urology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (337) 408-8676.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southern Urology LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208800000X
Last updated
Enumerated
StatusActive
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