DR. BRANDON KEITH HIDER (NPI# 1629286075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629286075 |
| Entity Type | Individual |
| Full Name | DR. BRANDON KEITH HIDER |
| Credential | M.D. |
| Practice Address |
12895 Highway 90 Suite H Luling LA 70070-2249 |
| Practice Telephone | 9853319400 |
| Practice Fax Number | 9853319401 |
| Mailing Telephone | 9853319400 |
| Mailing Fax Number | 9853319401 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.204623 | LA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | PGY.2-LSUNO | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05652823 | 05 | |
| LA | 1505978 | 05 |
| Street Address |
12895 HIGHWAY 90 SUITE H |
| City | LULING |
| State | LA |
| Zip Code | 70070-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972042810 | Ochsner Clinic LLC | General Practice | 12895 Highway 90, Ste H, Luling, LA 70070-2249 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376624387 | Martin E Weiner, M.d. P.a. | Family Medicine | 711 S Hackberry, Luling, TX 78648 | 2006-10-17 |
| 1093758500 | Howard K Wilson | Family Medicine | 130 Hays Street, Suite B and D, Luling, TX 78648 | 2006-06-13 |
| 1831176635 | Dora L. Gonzalez | Family Medicine | 130 Hays St, B, Luling, TX 78648-3207 | 2005-12-22 |
| 1922645225 | Amanda Brooke De Hoyos | Family Medicine | 702 S Hackberry Ave, Luling, TX 78648-3205 | 2019-12-05 |
| 1619331089 | Asfiya Yunus | Family Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-11 |
| 1316308604 | Sarah Lester Pllc | Family Medicine | 200 Memorial Dr, Luling, TX 78648-3213 | 2016-03-14 |
| 1457769234 | Sam Obgartel | Family Medicine | 843 Milling Ave, Luling, LA 70070-4442 | 2014-07-24 |
| 1003007998 | William D. Holmes Jr. | Family Medicine | 843 Milling Ave, Luling, LA 70070-4442 | 2007-08-06 |
| 1720126659 | Jerry F Castilleja | Family Medicine | 111 S Laurel Ave, Luling, TX 78648-2624 | 2007-02-02 |
| 1942316450 | Bryan Bertucci | Family Medicine | 843 Milling Ave, Luling, LA 70070-4442 | 2006-08-21 |
| Find all providers in LULING | ||||
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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.