BRANDON LANE PHILLIPS (NPI# 1881893808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881893808 |
Entity Type | Individual |
Full Name | BRANDON LANE PHILLIPS |
Credential | MD |
Practice Address |
300 Pavilion Rd West Monroe LA 71292-9470 |
Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
Practice Telephone | 3183231100 |
Mailing Telephone | 5048424000 |
Enumeration Date | 2007-07-11 |
Last Update Date | 2017-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
303412 | LA | Allopathic & Osteopathic Physicians |
N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
N5944 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09731876 | 05 | |
LA | 2430718 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356754956 | Brandon Phillips | Radiology | 619 19th St S Dept Of, Birmingham, AL 35233-1900 | 2014-06-11 |
1629387279 | Brandon Phillips | Psychologist | 90 Whitewood Rd Ste 4, Charlottesville, VA 22901-1668 | 2010-09-30 |
1790913101 | Brandon Michael Phillips | Speech-Language Pathologist | 3711 N Roan St, Apt B14, Johnson City, TN 37601-1258 | 2009-06-24 |
1790386142 | Brandon Phillips | Counselor | 2428 W Reynolds Ave, Centalia, WA 98531-4554 | 2020-11-03 |
1295341840 | Brandon Phillips | Physical Therapist | 1640 Springdale Dr Unit 10, Camden, SC 29020-5002 | 2020-09-18 |
1386131571 | Brandon Phillips | Behavior Technician | 4008 N Rosewood Ave, Muncie, IN 47304-1775 | 2018-04-13 |
1619473923 | Brandon Phillips | Pharmacist | 2421 Powell Ave, Nashville, TN 37204-4653 | 2018-04-04 |
1093238404 | Brandon Phillips | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2017-07-18 |
1679973382 | Brandon Phillips | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2014-08-29 |
1508295072 | Brandon Phillips | Pharmacist | 601 Spartanburg Hwy, Hendersonville, NC 28792-5762 | 2013-11-05 |
Street Address |
300 PAVILION RD |
City | WEST MONROE |
State | LA |
Zip Code | 71292-9470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649249491 | Terry Dean King | Pediatrics | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2006-03-15 |
1639542087 | Jenna Marie White | Physician Assistant | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2015-11-06 |
1750759601 | Anna Auburn Barham | Physician Assistant | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2015-09-09 |
1932598695 | Ochsner Clinic LLC | General Practice | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2015-01-20 |
1679981294 | Heather Grayson | Nurse Practitioner | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2014-07-28 |
1881953529 | Jennifer Crosbie Watson | Nurse Practitioner | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2012-05-15 |
1518226638 | Nancy Batson King | Nurse Practitioner | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2012-05-09 |
1578896122 | Jerry Wilson Batson | Nurse Practitioner | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2009-09-15 |
1326201500 | Terry D. King, Md Amc | Pediatrics | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2008-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699222190 | Kasi Lively | Physician Assistant | 1879 Caples Rd, West Monroe, LA 71292 | 2016-09-01 |
1780029918 | Earlysteps | Home Health | 130 Laureli Ln, West Monroe, LA 71292 | 2013-05-01 |
1356587372 | Donald Shane Debnam | Nurse Practitioner | 1070 Jonesboro Road, Gpi - Plant 70 Medical Center, West Monroe, LA 71292 | 2008-12-22 |
1063572428 | Mr. Discount Drugs, Inc. | Pharmacy | 1106 Jonesboro Road, West Monroe, LA 71292 | 2006-12-08 |
1356376602 | West Monroe Care Center LLC | Family Medicine | 1416 Natchitaches Road, West Monroe, LA 71292 | 2006-07-12 |
1912936980 | Advanced Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 213 Expo Circle, West Monroe, LA 71292 | 2006-07-02 |
1023054871 | Healthcare Warehouse LLC | Durable Medical Equipment & Medical Supplies | 209 Expo Circle, Ste A, West Monroe, LA 71292 | 2006-06-21 |
1831154350 | Julee Lynn Winkler | Physical Therapist | 619 Kendall Ridge, West Monroe, LA 71292 | 2006-04-18 |
1033236393 | Monpsych Care Professional Corporation | Psychiatry & Neurology | 110 Elsinore Dr, West Monroe, LA 71292-0170 | 2007-03-23 |
1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
Find all providers in zip 71292 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649249491 | Terry Dean King | Pediatrics | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2006-03-15 |
1326201500 | Terry D. King, Md Amc | Pediatrics | 300 Pavilion Rd, West Monroe, LA 71292-9470 | 2008-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134730070 | Ochsner Clinic LLC | Pediatrics | 153o Town Blvd, Opelousas, LA 70570-6971 | 2020-08-13 |
1285960559 | James Louis Reynolds Sr. | Pediatrics | 808 Rue Decatur, Metairie, LA 70005-3462 | 2009-10-21 |
1306821558 | Anita Go | Pediatrics | 1268 South Hampton Drive, Alexandria, LA 71301 | 2005-12-09 |
1174508741 | Mudar Kattash | Pediatrics | 2005 Southwood Dr, Lake Charles, LA 70605-4139 | 2005-12-07 |
1356339147 | Albert Manuel Gutierrez | Pediatrics | 208 E Farrel Rd, Lafayette, LA 70508-7104 | 2005-10-06 |
1669471074 | Michael Robert Brumund | Pediatrics | 200 Henry Clay Avenue, Children's Hospital, New Orleans, LA 70118 | 2005-07-18 |
1003286998 | Geeta N Dalal Md LLC | Pediatrics | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2015-10-05 |
1437590908 | Mohanageetha Ardhanari | Pediatrics | 1501 Kings Hwy, Pediatrics, Shreveport, LA 71103-4228 | 2013-07-12 |
1003255076 | Sravani Avula | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2013-06-22 |
1093071250 | Shannon K Powell | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-02 |
Find all providers with the same taxonomy |
City | WEST MONROE |
Zip Code | 71292 |
Please comment or provide details below to improve the information on BRANDON LANE PHILLIPS.
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.