Organization · NPI-2

Sacred Health Institute- New Orleans

Internal Medicine · New Orleans, LA

NPI number1003786526

StatusActive

Last updated in NPPESNov 10, 2025

Details

NPI: 1003786526
Entity type: Organization (NPI-2)
Legal business name: Sacred Health Institute- New Orleans
Organization subpart: Yes
Enumeration date: Nov 10, 2025
Certification date: Nov 10, 2025
Last updated: Nov 10, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
133N00000X	Nutritionist	–	–
163WI0500X	Registered Nurse, Infusion Therapy	–	–
171400000X	Health & Wellness Coach	–	–
175F00000X	Naturopath	–	–
175L00000X	Homeopath	–	–
202D00000X	Integrative Medicine	–	–
208100000X	Physical Medicine & Rehabilitation	–	–
2083B0002X	Preventive Medicine, Obesity Medicine	–	–
2083P0901X	Preventive Medicine, Public Health & General Preventive Medicine	–	–
2083S0010X	Preventive Medicine, Sports Medicine	–	–
363LA2200X	Nurse Practitioner, Adult Health	–	–
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

10200 Chef Menteur Hwy
New Orleans, LA 70127-4263

Phone 504-603-6190

Mailing address

4969 Eastern St
New Orleans, LA 70122-6208

Phone 504-603-6190

Authorized official

Bruce Leonard Wilson
Founder/Ceo
5046036190

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