Individual provider Active NPI

Walter Dwayne Brown, MD

  • Pulmonary Disease Physician
  • Lafayette, LA
National Provider Identifier
1053305482
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
07368R Issued in LA
Practice address
155 Hospital Dr
Ste 206
Lafayette, LA 70503-2852
Phone
(337) 234-3204
Fax
(337) 234-3599
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 07368R LA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 07368R LA

Addresses

Primary practice location

155 Hospital Dr
Ste 206
Lafayette, LA 70503-2852

Mailing address

155 Hospital Dr
Ste 206
Lafayette, LA 70503-2852
Phone (337) 234-3204

Other identifiers 1

IdentifierTypeStateIssuer
1929255MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000235 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3072657394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Louisiana State University School of Medicine in Shreveport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GBR, LLCGroup PAC ID 8123206299, 15 clinicians
University Hospital and Clinics, Inc.Group PAC ID 7113161977, 81 clinicians

Practice addresses (Care Compare)

155 Hospital Dr
Suite 101
Lafayette, LA 70503-2852
Phone (337) 234-3204

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07368RLAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital & Clinics, Inc. CurrentSince Jul 1, 2015 Accepting new patients
GBR, LLC Pulmonary Disease CurrentSince Apr 1, 2011 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jul 1, 2015 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
University Hospital & Clinics, Inc. Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

155 Hospital Dr
Ste 206
Lafayette, LA 70503
Phone (318) 234-3204

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

155 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 234-3204

Interoperability endpoints

  • Direct secure messaging: wbrown1446363@direct.ochsner.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1053305482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-234-3204",
            "fax_number": "337-234-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-234-3204",
            "fax_number": "337-234-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WALTER",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "07368R",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "07368R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1929255",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.