NPIMap

Individual provider Active NPI

Donald Veron Brignac, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1083613756
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017224 Issued in LA
Practice address
5428 Odonovan Dr Ste B
Baton Rouge, LA 70808-4387
Phone
(225) 330-0480
Fax
(225) 330-0482
NPI assigned
Jul 15, 2005
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017224 LA Primary

Addresses

Primary practice location

5428 Odonovan Dr Ste B
Baton Rouge, LA 70808-4387

Mailing address

12525 Perkins Rd
Suite a
Baton Rouge, LA 70810-1907
Phone (225) 765-4256

Other identifiers 2

IdentifierTypeStateIssuer
080130382OtherLARAILROAD MEDICARE
1350257MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/ Other
Direct Messaging Address dbrignac2600@direct.casso.us.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000752 LA Practitioner - Family Practice 4587705926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12525 Perkins Rd a
Baton Rouge, LA 70810-1907
Phone (225) 765-4256

3401 N Blvd
Baton Rouge, LA 70806-3743
Phone (225) 381-6620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017224LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Baton Rouge General Medical Center CurrentSince Feb 6, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 1, 2012 Accepting new patients
Baton Rouge General Medical Center CurrentSince Feb 6, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Our Lady of the Lake Hospital Inc Family Medicine Past Accepting new patients

Locations

12525 Perkins Rd
#A
Baton Rouge, LA 70810
Phone (225) 761-4256

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

5131 Odonovan Dr
Ste 301
Baton Rouge, LA 70808
Phone (225) 490-0393

18989 Old Scenic Hwy
Zachary, LA 70791
Phone (225) 654-6140

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: dbrignac2600@direct.casso.us.com

Organizations & group practices 6

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

Hospital & facility affiliations 7

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1083613756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 PERKINS RD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101907",
            "telephone_number": "225-765-4256",
            "fax_number": "225-765-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 ODONOVAN DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084387",
            "telephone_number": "225-330-0480",
            "fax_number": "225-330-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGNAC",
        "first_name": "DONALD",
        "middle_name": "VERON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080130382",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350257",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5428 ODonovan Dr Ste B",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrignac2600@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dbrignac2600@direct.casso.us.com",
            "address_1": "5428 ODonovan Dr Ste B",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.