OrganizationActive
Southern Urology LLC
NPI 1760612865 · Urology Physician · Lafayette, LA
Provider details
- NPI number
- 1760612865
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Breaux, Managing Member(337) 233-6665
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1016 Coolidge Blvd
Lafayette, LA 70503-2436
Phone: (337) 233-6665
Fax: (337) 233-0327
Street-level locationGet directions
Mailing address
Po Box 54028
Lafayette, LA 70505-4028
Other names (DBA / former)
- Other name
- Coolidge Location
Registry dates
- Enumerated
- 2009-07-23
- Last updated
- 2010-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.