Brent Oliver Campanella, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017472 Issued in LA

Practice address

5131 Essen LN
Baton Rouge, LA 70809-3541

Phone

(225) 769-0043

Fax

(225) 769-0133

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brent O Campanella, MD

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1104095959
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003847369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093541",
            "telephone_number": "225-769-0043",
            "fax_number": "225-769-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093541",
            "telephone_number": "225-769-0043",
            "fax_number": "225-769-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "BRENT",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393053",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiziah L Cameron
• Toya Cameron, BS
• Anastasia Lopiccolo Camp, ANP
• Cecile Annette Camp, LCSW
• Mary Beth Campagna, LOT
• Maxine Elizabeth Campbell-Flint, PHD, MP
• Brandon Cary Campbell, NP
• Breanna Rae Campbell, MD
• Brenda Steptoe Campbell, MSW, PROVISIONAL GSW
• Courtney Kling Campbell, MD

• Family Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.