Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FERNANDO DAVID NUSSENBAUM, M.D
ActiveDR. FERNANDO DAVID NUSSENBAUM, M.D is a Sports Medicine (Orthopaedic) healthcare provider located in MANDEVILLE, Louisiana. NPI 1205274800 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · MANDEVILLE, LA
Registration Details
- NPI Number
- 1205274800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2013 (13.238151459625 yrs)
- Last Updated
- Dec 10, 2025
- Licenses
-
BP10046144 (TX)MD468290 (GA)
Practice Information
- Address
-
3190 E CAUSEWAY APPROACHMANDEVILLE, LA, 704483563Browse LA providers · Browse ZIP 70448
- Phone
- 9858824500
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.