THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1396175857
Pain Medicine - Interventional Pain Medicine in Thibodaux, LA

NPI Status: Active since November 20, 2013

Contact Information

726 N ACADIA RD
STE 2400
THIBODAUX, LA
ZIP 70301
Phone: (985) 493-4090
Fax: (985) 493-4081

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance
  • CLIA Number: 19D2029424
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-19-2026

About THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

This page provides the complete NPI Profile along with additional information for Thibodaux Regional Network Development Corporation, a provider established in Thibodaux, Louisiana operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1396175857 assigned on November 2013. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated June 2025. Thibodaux Regional Network Development Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Kim Legendre Boudreaux (Contract Manager)

NPI
1396175857
Provider Legal Name
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
726 N ACADIA RD STE 2400 THIBODAUX, LA 70301
Location Phone
(985) 493-4090
Location Fax
(985) 493-4081
Mailing Address
PO BOX 5478 THIBODAUX, LA 70302
Mailing Phone
(985) 493-4004
Mailing Fax
(985) 493-4081
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2013
Last Update Date
06-02-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM LEGENDRE BOUDREAUX

Authorized Official Title
CONTRACT MANAGER
Authorized Official Phone
(985) 493-4907

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2395131MEDICAID (05)LA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2029424
Facility Type
Physician Office
Certificate Effective Date
April 20, 2024
Certificate Expiration Date
April 19, 2026
Laboratory Director
DR. DEVIN M. BOURGEOIS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Thibodaux Regional Network Development Corporation on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396175857
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231862710810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 7 + 1 + 0 + 8 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1396175857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932130143DR. LUIS N HERNANDEZ M.D.
Individual
Pain Medicine (Interventional Pain Medicine)726 N ACADIA RD SUITE 2400
THIBODAUX, LA 70301
(985) 493-4090
1821049743DR. DAVID WADIE ELIAS M.D.
Individual
Orthopaedic Surgery726 N ACADIA RD SUITE 1000
THIBODAUX, LA 70301
(985) 625-2200
1891887022DR. JASON A. HIGGINS M.D.
Individual
Orthopaedic Surgery726 N ACADIA RD SUITE 1000
THIBODAUX, LA 70301
(985) 625-2200
1548315500DR. RICHARD A MORVANT JR. M.D.
Individual
Orthopaedic Surgery726 N ACADIA RD SUITE 1000
THIBODAUX, LA 70301
(985) 625-2200
1174662936 JOHN CHRISTIAN HILDENBRAND IV M.D.
Individual
Orthopaedic Surgery (Hand Surgery)726 N ACADIA RD SUITE 1000
THIBODAUX, LA 70301
(985) 625-2200
1841469681DR. PATRICK ROAN ELLENDER M.D.
Individual
Orthopaedic Surgery726 N ACADIA RD SUITE 1000
THIBODAUX, LA 70301
(985) 625-2200
1851918247 SHANE M CHIASSON
Individual
Specialist/Technologist (Athletic Trainer)726 N ACADIA RD
THIBODAUX, LA 70301
(985) 493-4502
1548922255 BROOKE KATHLEEN DOALSON M.ED, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)726 N ACADIA RD
THIBODAUX, LA 70301
(949) 607-9522
1083921944THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Organization
Internal Medicine (Rheumatology)726 N ACADIA RD STE 3400
THIBODAUX, LA 70301
(985) 449-4656
1134438906THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Organization
Neurological Surgery726 N ACADIA RD STE 2100
THIBODAUX, LA 70301
(985) 447-2645
1215355128THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)726 N ACADIA RD STE 3300
THIBODAUX, LA 70301
(985) 493-3080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396175857, enumerated in the NPI registry as an "organization" on November 20, 2013

The provider is located at 726 N Acadia Rd Ste 2400 Thibodaux, La 70301 and the phone number is (985) 493-4090

This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 19D2029424 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on November 20, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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