OrganizationActive
Thibodaux Regional Network Development Corporation
NPI 1114339181 · Neurology Physician · Thibodaux, LA
Provider details
- NPI number
- 1114339181
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Boudreaux, Contract Manager(985) 493-4907
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
726 N. Acadia Rd
Ste 2300
Thibodaux, LA 70301-5078
Phone: (985) 493-3090
Fax: (985) 493-3091
Street-level locationGet directions
Mailing address
602 N Acadia Rd
Thibodaux, LA 70301-4823
Other names (DBA / former)
- Doing business as
- Thibodaux Regional Neurology Clinic
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.