Dr. Michael Shane Bodin, MD
Dr. Michael Shane Bodin, MD is a Family Practice in Gonzales, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2005, 21 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.
- Years since qualifying
- 21
- Trained at
- Louisiana State University School of Medicine in New Orleans
- Licensed in
- LA
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2647 S Saint Elizabeth Blvd Ste 219Gonzales, LA 70737-5020
Phone: (225) 765-5500
Fax: (225) 743-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 200969 (LA) |
|---|
Record details
| NPI number | 1376743427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 18, 2007 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
| Mailing address | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduated | 2005 (21 years in practice) |
| Group practice | Our Lady Of The Lake Physician Group Llc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Gonzales
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Dr. David D Anderson, DO
2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737-5019 · (225) 765-5500
-
Richard J. Caro, MD
2304 S Burnside Ave Ste 2, Gonzales, LA 70737 · (225) 647-6533
-
Jeffrey Delaune
12320-1 La Hwy 44, Gonzales, LA 70737 · (225) 647-5767
-
Srivalli Donthineni, MD
1125 W Highway 30, Gonzales, LA 70737-5004 · (225) 647-8511
-
Dr. Ericka Theresa Flood, MD
2400 S Burnside Ave, Gonzales, LA 70737-4645 · (225) 761-5211