Calais Dermatology Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CALAIS DERMATOLOGY ASSOCIATES

Practice address

5220 Flanders Drive
Baton Rouge, LA 70808

Phone

(225) 766-5151

Fax

(225) 766-8216

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

John Bretton Brantley, MDNPI 1629006630

Title

Owner Physician

Phone

(225) 766-5151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bretton Brantley, MD

  • Dermatology Physician
  • Baton Rouge, LA
  • NPI 1629006630
  Medicare reassignment Care Compare group NPD Authorized official
• Gloria Ann Marchand, NP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1144719659
  Medicare reassignment Care Compare group NPD
• Kathryn Louise Oliver Luckett, MD

  • Student in an Organized Health Care Education/Training Program
  • Birmingham, AL
  • NPI 1124525464

  Dermatology, LA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1093742769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 FLANDERS DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-766-5151",
            "fax_number": "225-766-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 FLANDERS DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-766-5151",
            "fax_number": "225-766-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAIS DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRETTON",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "225-766-5151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1943487",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basheba Caine
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• Kacey Calabro
• Matthew Calamia, PHD
• Mindy Leigh Calandro, MD
• Nequondra Keoka Caleb, SOCIAL WORKER
• Gerald Joseph Calegan II, MD
• Patricia Calfee

• Dermatology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.