Grant Dean Clinkingbeard, MD

Pediatrics Physician · Covington, LA

Individual Active NPI

NPI number 1710446968

Practice location

728 W 11TH Ave
Covington, LA 70433-2318
Phone
(985) 730-7195
Fax
(985) 730-7196

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NPI record

NPI
1710446968
Entity type
Individual (Type 1)
Enumeration date
March 18, 2019
Last updated
March 24, 2023
Certified
March 24, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 328752 LA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone
(985) 730-7195
Fax
(225) 765-9196

Other practice locations (2)

  • 200 Henry Clay Ave, New Orleans, LA 70118-5720 · (504) 896-3924
  • 433 Plaza St Ste 1A, Bogalusa, LA 70427-3729 · (985) 730-6970

About Dr. Clinkingbeard

Grant Dean Clinkingbeard, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 728 W 11TH Ave, Covington, LA 70433-2318. The NPI number 1710446968 was assigned on March 18, 2019 and the record was last updated on March 24, 2023.

Dr. Clinkingbeard lists a license in the registry: #328752 (LA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grant Dean Clinkingbeard, MD?

The NPI number is 1710446968.

What is the phone number of Dr. Clinkingbeard?

The phone number listed for the practice location is (985) 730-7195.

Where is Dr. Clinkingbeard located?

728 W 11TH Ave, Covington, LA 70433-2318.

What is the taxonomy code for Dr. Clinkingbeard?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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