Brandon J Mong (NPI# 1821452624, PAC ID# 4385916816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1821452624 |
| PAC ID by PECOS | 4385916816 |
| Professional Enrollment ID | I20180515002413 |
| Full Name | Brandon J Mong |
| Organization Legal Name | ST MARTIN EMERGENCY GROUP LLC |
| Address |
210 Champagne Blvd Breaux Bridge LA 70517-3700 |
| Phone Number | 3373322178 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0840444683 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190045 | ST TAMMANY PARISH HOSPITAL |
| 190146 | EAST JEFFERSON GENERAL HOSPITAL |
| 190065 | BATON ROUGE GENERAL MEDICAL CENTER |
| 190046 | TOURO INFIRMARY |
| Address | Phone | Organization |
|---|---|---|
| 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2257634000 | RED STICK EMERGENCY GROUP LLC |
| 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | 3373322178 | ST MARTIN EMERGENCY GROUP LLC |
| 1202 S Tyler St, Covington, LA 70433-2330 | 9858984000 | ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC |
| 4200 Houma Blvd, Metairie, LA 70006-2970 | 5044544000 | EAST JEFFERSON EMERGENCY MANAGEMENT LLC |
| 1401 Foucher St, New Orleans, LA 70115-3593 | 5048977011 | FOUCHER EMERGENCY GROUP LLC |
| Organization Legal Name | ST MARTIN EMERGENCY GROUP LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane M Durkes | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Lindsay B Hymel | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Christopher J Matt | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Brandon Scott Ammon | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Aaron M Foster | Family Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Israel Wootton | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Street Address |
210 CHAMPAGNE BLVD |
| City | BREAUX BRIDGE |
| State | LA |
| Zip | 70517-3700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Del C Martinez | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Shane M Durkes | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Rajachendra S Tumma | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Ariadne A Gauthier | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| David M Grace | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Amanda M Lacomb | Family Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Brady K Guillory | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Lindsay B Hymel | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Christopher J Matt | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Brandon Scott Ammon | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivasa Yerasi | Pediatric Medicine | Pediatric Group of Acadiana, LLC | 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 |
| Garett P Thibodeaux | Optometry | 1525 E Bridge St, Breaux Bridge, LA 70517-3401 | |
| Jaime M Cordova | Internal Medicine | 1442 E Bridge St, Breaux Bridge, LA 70517-3406 | |
| Eric Elias | Obstetrics/gynecology | 1546 Gary Dr, Breaux Bridge, LA 70517-3447 | |
| Luris M Sanchez | Family Medicine | St Martin Hospital Inc | 1555 Gary Dr, Suite A, Breaux Bridge, LA 70517-3448 |
| Anthony I Blanchard | Podiatry | 1555 Gary Dr, Breaux Bridge, LA 70517-3448 | |
| Aaron M Foster | Family Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Israel Wootton | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Chad N Heinen | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Caroline D White | Nurse Practitioner | St Martin Hospital Inc | 225 Champagne Blvd, Breaux Bridge, LA 70517-3733 |
| Find all physicians in zip 70517 | |||
| City | BREAUX BRIDGE |
| Zip Code | 70517 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BREAUX BRIDGE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brandon J Mong.
| 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.