Brad D Vincent (NPI# 1588747406, PAC ID# 4183717614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
Nation Provider ID (NPI) | 1588747406 |
PAC ID by PECOS | 4183717614 |
Professional Enrollment ID | I20070829000605 |
Full Name | Brad D Vincent |
Address |
5130 Mancuso Ln Baton Rouge LA 70809-3583 |
Phone Number | 2254909650 |
Gender | M |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
Graduation Year | 2000 |
Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
Secondary Specialties | INTERNAL MEDICINE, PULMONARY DISEASE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4950 Essen Ln, Baton Rouge, LA 70809-3738 | 2257670847 | MARY BIRD PERKINS CANCER CENTER |
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 |
5130 Mancuso Ln, Baton Rouge, LA 70809-3583 | 2254909650 | |
7777 Hennessy Blvd, Baton Rouge, LA 70808-4363 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
Street Address |
5130 MANCUSO LN |
City | BATON ROUGE |
State | LA |
Zip | 70809-3583 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary Stringfellow | Hematology/oncology | Impact Network LLC | 5130 Mancuso Ln, Baton Rouge, LA 70809-3583 |
Palvi Patel | Family Medicine | Impact Network LLC | 5130 Mancuso Ln, Baton Rouge, LA 70809-3583 |
Ranada Ann Johnson | Internal Medicine | Impact Network LLC | 5130 Mancuso Ln, Baton Rouge, LA 70809-3583 |
Kea Michelle Jones | Internal Medicine | Impact Network LLC | 5130 Mancuso Ln, Baton Rouge, LA 70809-3583 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael W Dupre | General Surgery | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 | |
Shaban Faruqui | Gastroenterology | Baton Rouge General Medical Center | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 |
Jill H Fruge | Internal Medicine | Our Lady of The Lake Physician Group LLC | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 |
Mark C Shoptaugh Jr. | Psychiatry | 7865 Jefferson Hwy, Suite D, Baton Rouge, LA 70809-1384 | |
David E Thomas | Sleep Medicine | 2355 Drusilla Ln, Baton Rouge, LA 70809-1443 | |
Richard Gaynor | Internal Medicine | 2320 Drusilla Ln, Suite B, Baton Rouge, LA 70809-1495 | |
Betty Armstrong | Clinical Social Worker | 8017 Jefferson Hwy B1, Baton Rouge, LA 70809-1681 | |
Steven K Bordelon | Clinical Social Worker | 8017 Jefferson Hwy, Suite B4, Baton Rouge, LA 70809-1681 | |
Patricia A Godfrey | Clinical Social Worker | 8017 Jefferson Hwy, Suite B1, Baton Rouge, LA 70809-1681 | |
Adrian A Agosta | Clinical Social Worker | 7940 Wrenwood Blvd, Apt G, Baton Rouge, LA 70809-1766 | |
Find all physicians in zip 70809 |
City | BATON ROUGE |
Zip Code | 70809 |
Specialty | CRITICAL CARE (INTENSIVISTS) |
City + Specialty | BATON ROUGE + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Brad D Vincent.
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.