PHILLIP J. BRANTLEY (NPI# 1134141856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134141856 |
| Entity Type | Individual |
| Full Name | PHILLIP J. BRANTLEY |
| Credential | PHD |
| Practice Address |
Earl K. Long Hospital, Lsu Unit 5825 Airline Highway Baton Rouge LA 70805 |
| Mailing Address |
1340 Poydras St New Orleans LA 70112-1221 |
| Practice Telephone | 2253583938 |
| Mailing Telephone | 5044121860 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
418 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594631 | Phillip Michael Brantley | Counselor | 100 Athletic St, Mars Hill, NC 28754-9134 | 2019-12-06 |
| Street Address |
EARL K. LONG HOSPITAL, LSU UNIT 5825 AIRLINE HIGHWAY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013930957 | Richard Frank Burroughs | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1659394591 | Angela Corbino Johnson | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1346263282 | Charles Alexander Barkemeyer | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1861415788 | William Chapman Lee | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1235152174 | William Joseph Graham Jr. | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1235152190 | Robert Joseph Thibodaux Jr. | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1396768222 | Xuong T. Dao | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Hwy, Baton Rouge, LA 70805 | 2006-07-25 |
| 1205859139 | Gehl H. Davis | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1093738007 | Nancy Kowalozuk Bailey | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| 1689696692 | Van Bibb Saye Jr. | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789595 | Cardiovascular Specialty Care Center - Vascular | Internal Medicine | 7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 | 2019-09-18 |
| 1083002331 | Twilight Center LLC | Internal Medicine | 3800 Florida Blvd, Baton Rouge, LA 70806 | 2015-01-08 |
| 1457492571 | James Robert Calvin | Internal Medicine | 1831 Old Plantation Ln, Baton Rouge, LA 70806-8429 | 2007-02-09 |
| 1043232804 | Alfredo Suarez | Internal Medicine | 5825 Airline Highway, Earl K Long Hospital Lsu Unit, Baton Rouge, LA 70805 | 2006-07-24 |
| 1740202555 | Michael O'donnell Bourgeois | Internal Medicine | Lsu Healthcare Network, 3401 North Blvd, Suite 400, Baton Rouge, LA 70806 | 2006-07-24 |
| 1972525749 | Dorothy V. Hayden | Internal Medicine | 1700 Medical Center Drive, Baton Rouge, LA 70816 | 2006-07-24 |
| 1659331247 | Leon Francis Kraft | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2006-03-27 |
| 1154309318 | Red Stick Cardiology LLC | Internal Medicine | 17050 Medical Center Dr, Ste 111, Baton Rouge, LA 70816-3252 | 2006-01-06 |
| 1073515011 | Norman Joseph Deumite | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2005-08-10 |
| 1417958240 | Harold G Clausen | Internal Medicine | 5231 Brittany Dr, Baton Rouge, LA 70808-9143 | 2005-08-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.