Bradley Landwehr, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

333660 Issued in LA

Practice address

3705 Coliseum St
New Orleans, LA 70115-3708

Phone

(504) 605-1100

Fax

(504) 891-5859

NPI assigned

Mar 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• TMS Center of New Orleans

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1033617774
  NPD
• Degan J Dansereau MD LLC

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1295771897
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1114486370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153708",
            "telephone_number": "504-605-1100",
            "fax_number": "504-891-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 COLISEUM ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153708",
            "telephone_number": "504-605-1100",
            "fax_number": "504-891-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDWEHR",
        "first_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "313131",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "333660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Landry, MD
• Raquel Landry
• Shellie Landry, SLP
• Vanessa D Landry, PA
• Whitney Landry
• Amy Palestina Lane, CST
• Elaine J Lane, LPC, LMFT
• Erica Lanette, PA-C
• Dan Foster Laney IV, M.D.
• Edward M Lang, DPM

• Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.