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

Dr. Maverick Joseph Leblanc, MD

Individual provider Diagnostic Radiology Physician · NPI 1558780940

Dr. Maverick Joseph Leblanc, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from Louisiana State University School of Medicine in New Orleans in 2014, 12 years ago. Practices with District Medical Group Inc, a 450-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Louisiana and Missouri.

Years since qualifying
12
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AZ, LA, MO
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-1516
Fax: (602) 344-1004
Show map & directions

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

Additional practice locations (2)

  • 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 — (225) 761-5200
  • 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 — (314) 362-7200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 66556 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2017043788 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 322598 (LA)

Record details

NPI number1558780940
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2014 (12 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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