DR. BRANDON PATRICK DONNELLY (NPI# 1992966527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992966527 |
| Entity Type | Individual |
| Full Name | DR. BRANDON PATRICK DONNELLY |
| Credential | M.D. |
| Practice Address |
3939 Houma Blvd Doctors' Row Suite 21 Metairie LA 70006-2931 |
| Practice Telephone | 5048856464 |
| Practice Fax Number | 5048858993 |
| Mailing Telephone | 5048856464 |
| Mailing Fax Number | 5048858993 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD 204646 | LA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD 204646 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912478082 | Brandon Donnelly | Physical Therapist | 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 | 2018-12-16 |
| Street Address |
3939 HOUMA BLVD DOCTORS' ROW SUITE 21 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083105373 | Jonathan Hector Ligori | Physical Therapist | 3939 Houma Blvd, Bldg 5 Ste 17, Metairie, LA 70006 | 2018-05-23 |
| 1922539642 | Sean Buchta | Nurse Practitioner | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2017-03-23 |
| 1811436629 | Lmg LLC | Orthopaedic Surgery | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2017-02-14 |
| 1457809816 | Alayna Kristin Jolet | Physical Therapist | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-09-14 |
| 1124477823 | Chad R Walker | Physical Therapy Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-06-03 |
| 1346698990 | Nicholas J Usner | Physician Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-05-24 |
| 1194198267 | Dustin Roussel | Clinic/Center | 3939 Houma Blvd, Ste 17, Metairie, LA 70006-2931 | 2015-11-11 |
| 1669881827 | Neil Romig | Physical Therapist | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2931 | 2014-08-12 |
| 1477960953 | Michael Guillory | Specialist/Technologist | 3939 Houma Blvd, #17 Doctors Row, Metairie, LA 70006-2931 | 2014-07-16 |
| 1134531486 | Ustdds, Inc. | Dentist | 3939 Houma Blvd, Building 3 Suite 11, Metairie, LA 70006-2931 | 2014-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
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| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902079759 | Carol Durham Meyer | Orthopaedic Surgery | 4228 Houma Blvd, Suite600b, Metairie, LA 70006-3000 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316146228 | Orthopaedic Sports Specialists of Louisiana LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5051 | 2007-07-12 |
| 1609837020 | Michelle R Ritter | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-03-28 |
| 1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
| 1033633284 | Allen T. Borne, M.d., LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2017-07-31 |
| 1306377189 | Donald C. Faust, Md | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2017-03-23 |
| 1700282704 | Lmg, LLC | Orthopaedic Surgery | 2731 Napoleon Ave, New Orleans, LA 70115-6913 | 2014-11-18 |
| 1326485319 | Matthew Rand Mccarley | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2013-05-30 |
| 1487949483 | Brent Van Mccarty | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Covington, LA 70433-9167 | 2011-06-17 |
| 1578855896 | Allen T Borne | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2011-05-04 |
| 1396069308 | Katherine Faust | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2010-03-19 |
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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.