Organization Active NPI

Neurotrac of Baton Rouge LLC

  • General Practice Physician
  • Baton Rouge, LA
National Provider Identifier
1043691090
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEUROTRAC OF BATON ROUGE LLC
Practice address
10626 Linkwood CT
Suite a
Baton Rouge, LA 70810-2965
Phone
(225) 205-0224
NPI assigned
Jun 16, 2015
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Blain Bech
Title
Ceo
Phone
(225) 205-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10626 Linkwood CT
Suite a
Baton Rouge, LA 70810-2965

Mailing address

10473 Old Hammond Highway
Baton Rouge, LA 70816

National Provider Directory

National Provider Directory

Locations

10626 Linkwood Ct
Ste A
Baton Rouge, LA 70810
Phone (225) 333-8282

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1043691090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10473 OLD HAMMOND HIGHWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10626 LINKWOOD CT",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102965",
            "telephone_number": "225-205-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTRAC OF BATON ROUGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BECH",
        "authorized_official_first_name": "BLAIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-205-0224"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.