Brian L Gamborg (NPI# 1295795755, PAC ID# 4981779386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295795755 |
| PAC ID by PECOS | 4981779386 |
| Professional Enrollment ID | I20080820000130 |
| Full Name | Brian L Gamborg |
| Organization Legal Name | LSUHSC FAMILY PRACTICE CENTER @ LCMH |
| Address |
1525 Oak Park Blvd Lake Charles LA 70601-8849 |
| Phone Number | 3374946767 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042297558 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190060 | LAKE CHARLES MEMORIAL HOSPITAL |
| 190013 | WEST CALCASIEU CAMERON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 3374946767 | LSUHSC FAMILY PRACTICE CENTER @ LCMH |
| 701 E Cypress St, West Calcasieu Cameron Hospital, Sulphur, LA 70663-5053 | 3375277034 | CALCASIEU CAMERON HOSPITAL MEDICINE GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 38% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 84% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 28% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 63% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 52% |
| Organization Legal Name | LSUHSC FAMILY PRACTICE CENTER @ LCMH |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan G Barootes | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Danette | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Caroline Champagne Courville | Pediatric Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Alan L Lebato | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Tuananh M Pham | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Bradley H Loewer | Emergency Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Brian R Harrell | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Earl John J Soileau Jr. | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Street Address |
1525 OAK PARK BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-8849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan G Barootes | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Danette | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Caroline Champagne Courville | Pediatric Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Alan L Lebato | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Tuananh M Pham | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Bradley H Loewer | Emergency Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Brian R Harrell | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Earl John J Soileau Jr. | Family Medicine | Lsuhsc Family Practice Center @ Lcmh | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE CHARLES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brian L Gamborg.
| 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.