Kamel Brakta
WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC


Address: 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981
Phone: 3182126270

Kamel Brakta (NPI# 1104087634, PAC ID# 0941439590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1104087634
PAC ID by PECOS 0941439590
Professional Enrollment ID I20140131001197
Full Name Kamel Brakta
Organization Legal Name WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC
Address 2551 Greenwood Rd
Suite 311
Shreveport
LA 71103-3981
Phone Number 3182126270
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 2008
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 0749419372
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190111 WILLIS KNIGHTON MEDICAL CENTER

Other Locations

Address Phone Organization
1202 Louisiana Ave, Shreveport, LA 71101-3910 3182128946 WK SOUTH SURGICAL HOSPITALISTS
2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981 3182126270 WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name WK ROBOTIC AND LAPAROSCOPIC SURGERY CLINIC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Nicole Michelle Toups Physician Assistant Wk Robotic and Laparoscopic Surgery Clinic 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981
Dustin L. Hadley Physician Assistant Wk Robotic and Laparoscopic Surgery Clinic 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981

Office Location

Street Address 2551 GREENWOOD RD
SUITE 311
City SHREVEPORT
State LA
Zip 71103-3981

Physicians in the same location

Name Specialty Organization Address
James Burke General Surgery 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103-3989
Erin J Dicharry Physician Assistant Wk Tri-state Medical Clinic 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989
Derek R Munoz Internal Medicine Wk North Hospitalists Group 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989
Pierre Blanchard Internal Medicine Wk Tri-state Medical Clinic 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989
Ambrosia Holsapple Nurse Practitioner Wk Tri-state Medical Clinic 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989
Kurtis G Kostan Internal Medicine Wk North Hospitalists Group 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989
Karla O Querbes Internal Medicine 2551 Greenwood Rd, Shreveport, LA 71103-3981
Nicole Michelle Toups Physician Assistant Wk Robotic and Laparoscopic Surgery Clinic 2551 Greenwood Rd, Suite 311, Shreveport, LA 71103-3981
James M Jackson Internal Medicine 2551 Greenwood Rd, Suite 410, Shreveport, LA 71103-3989
Kathryn F Chreene Physician Assistant Wk Tri-state Neurosurgery Associates 2551 Greenwood Rd, Suite 320, Shreveport, LA 71103-3989
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Sophia Tayebeh Shokouh-amiri Family Medicine Wk Pierre Ave Community Health Education and Wellness Center 1327 Pierre Ave, Shreveport, LA 71103-3056
Tiffany George Nurse Practitioner Wk Pierre Ave Community Health Education and Wellness Center 1327 Pierre Ave, Shreveport, LA 71103-3056
Tymwa Dixon Family Medicine Wk Pierre Ave Community Health Education and Wellness Center 1327 Pierre Ave, Shreveport, LA 71103-3056
James P Swearingen Jr. Ophthalmology Wk Pierremont Eye Institute 2611 Greenwood Rd, Shreveport, LA 71103-3907
Stephen W Lewis Optometry Wk Pierremont Eye Institute 2611 Greenwood Rd, Shreveport, LA 71103-3907
Margaret A Wheat- Sipes Ophthalmology Wk Pierremont Eye Institute 2611 Greenwood Rd, Shreveport, LA 71103-3907
Janusz Luka Optometry Wk Pierremont Eye Institute 2611 Greenwood Rd, Shreveport, LA 71103-3907
David D Bryan Ophthalmology Wk Pierremont Eye Institute 2611 Greenwood Rd, Shreveport, LA 71103-3907
Wyche Coleman Iii Ophthalmology Wk Pierremont Eye Institute 2611 Greenwood Rd, Shreveport, LA 71103-3907
Christopher L Shelby Ophthalmology Wk Pierremont Eye Institute 2611 Greenwood Rd, Shreveport, LA 71103-3907
Find all physicians in zip 71103

Competitor

Search similar physicians

City SHREVEPORT
Zip Code 71103
Specialty GENERAL SURGERY
City + Specialty SHREVEPORT + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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