Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Elizabeth-Mary Bird Perkins Cancer Center, LLC

Organization Nuclear Radiology Physician · NPI 1619155124

St Elizabeth-Mary Bird Perkins Cancer Center, LLC is a Nuclear Radiology Physician in Gonzales, Louisiana. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1104 W Highway 30
Gonzales, LA 70737-5003
Phone: (225) 215-1223
Fax: (225) 766-0218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X
Nuclear Radiology Physician Taxonomy 2085N0904X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Therapeutic Radiology Physician Taxonomy 2085R0203X

Record details

NPI number1619155124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Kraft — Decision Support Manager · (225) 215-1281
NPI enumeratedFebruary 6, 2008
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address5215 Essen Ln Ste 200, Baton Rouge, LA 70809-3543