Walter Bringaze IIi (NPI# 1093779092, PAC ID# 1850382250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1093779092 |
| PAC ID by PECOS | 1850382250 |
| Professional Enrollment ID | I20110125000149 |
| Full Name | Walter Bringaze IIi |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Address |
7777 Hennessy Blvd Baton Rouge LA 70808-4300 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1983 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 4587849781 |
| Number of Group Practice Members | 474 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190065 | BATON ROUGE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC | |
| 5000 Hennessy Blvd, Suite 3, Baton Rouge, LA 70808-4375 | 2257658987 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| QCDR_EC_STS7_overall | Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery | 3% |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Physicians | 443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Robinson | Family Medicine | Our Lady of The Lake Physician Group LLC | 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 |
| Kori Fogg Juban | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 34870 La Hwy 1019, Denham Springs, LA 70706-0659 |
| Michelle Duhe | Family Medicine | Our Lady of The Lake Physician Group LLC | 26739 La Hwy 1032, Denham Springs, LA 70726-4926 |
| Swapna G Kallu | Internal Medicine | Our Lady of The Lake Physician Group LLC | 214 Clinic Dr, Donaldsonville, LA 70346-4309 |
| Montrell Martin-duhe | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4463 La Hwy 1 S A, Port Allen, LA 70767-5990 |
| Joshua R Clark | Family Medicine | Our Lady of The Lake Physician Group LLC | 59315 River W Dr, Suite C, Plaquemine, LA 70764-6553 |
| Hollie B Ortis | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 13489 Hwy 431, Suite A, Saint Amant, LA 70774-3213 |
| Shantan Ravula | Family Medicine | Our Lady of The Lake Physician Group LLC | 14225 Hwy 73, Prairieville, LA 70769-3616 |
| Daniel Kevin Lavie | Hematology/oncology | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Sheri A Ammons | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 5428 Odonovan Dr B, Baton Rouge, LA 70808-4374 |
| Street Address |
7777 HENNESSY BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip | 70808-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Peary Bridges | Urology | 7777 Hennessy Blvd, Suite 608, Baton Rouge, LA 70808-4366 | |
| Pamela H. Stanley | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808-4370 |
| Joseph A Grizzaffi Jr. | Psychiatry | Our Lady of The Lake Physician Group LLC | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4363 |
| Holli B Cordell | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Group Associates Inc | 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808-0319 |
| Jon R Jackson | Internal Medicine | Our Lady of The Lake Physician Group LLC | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4363 |
| Vickie Muhovich | Physician Assistant | Our Lady of The Lake Physician Group LLC | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4363 |
| James S Morris | Urology | Baton Rouge Urology Group Apmc | 7777 Hennessy Blvd, Suite 2004, Baton Rouge, LA 70808-4370 |
| Cynthia L Bailey | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia LLC | 7777 Hennessy Blvd, Suite 5000, Baton Rouge, LA 70808-4368 |
| Scott M Lato | Anesthesiology | Anesthesiology Group Associates Inc | 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808-0319 |
| Crayton A Fargason | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Smith Luckett | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Glen A Lamonica | Optometry | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Hilliard Michael Haik Jr. | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Annette M Rhodes | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Philip D Ehrlich | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Charles E Afeman | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Devin Brandley Tran | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Candace C Collins | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Joseph A Lamendola | Optometry | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| George D Fivgas | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Find all physicians in zip 70808 | |||
| City | BATON ROUGE |
| Zip Code | 70808 |
| Specialty | THORACIC SURGERY |
| City + Specialty | BATON ROUGE + THORACIC SURGERY |
Please comment or provide details below to improve the information on Walter Bringaze IIi.
| 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.