IndividualActive
Barry Bordenave, M.D.
NPI 1811017882 · Pediatric Adolescent Medicine Physician · Lake Charles, LA
Provider details
- NPI number
- 1811017882
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13559 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
321 Overhill Dr
Lake Charles, LA 70605-6527
Phone: (337) 474-8886
Approximate (ZIP-level) locationGet directions
Mailing address
321 Overhill Dr
Lake Charles, LA 70605-6527
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.