Brent O Campanella, MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRENT O CAMPANELLA, MD

Practice address

5131 Essen LN
Baton Rouge, LA 70809-3541

Phone

(225) 769-0043

Fax

(225) 769-0133

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brent O Campanella, M.D.NPI 1003847369

Title

Doctor

Phone

(225) 769-0043

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brent Oliver Campanella, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1003847369
  NPD (past) Authorized official

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1104095959",
    "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": {
        "organization_name": "BRENT O CAMPANELLA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "CAMPANELLA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "225-769-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393053",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Dominic Breazile, MD
• Sharon Breckenridge
• Nathandria Breedlove Bradley
• Nicole Breedlove, M.S., CCC-SLP
• Jane Bailey Breland, LOTR
• Mikeyia Monisha Brent
• Arianna Elizabeth Bretz, BA
• Gabrielle Marie Brewer, DO
• Kayla Brewer
• Reginald Mario Brewer Sr.

• Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.