Individual provider Active NPI

Brandee Bocage, FNP

  • Family Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1124565510
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09066 Issued in LA
Practice address
919 Milton St
Gretna, LA 70053-3416
Phone
(504) 908-7511
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09066 LA Primary

Addresses

Primary practice location

919 Milton St
Gretna, LA 70053-3416

Mailing address

919 Milton St
Gretna, LA 70053-3416
Phone (504) 908-7511

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200911001811 LA Practitioner - Nurse Practitioner 3476971169 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Louisiana LLC CurrentSince Oct 2, 2024 Accepting new patients
Vpa PC CurrentSince Oct 13, 2024 Accepting new patients
Vpa PC CurrentSince Oct 13, 2024 Accepting new patients

Locations

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

201 Victory Blvd
Ste 200
Monroe, LA 71203
Phone (877) 917-7010

2614 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 291-5100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1124565510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MILTON ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533416",
            "telephone_number": "504-908-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MILTON ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533416",
            "telephone_number": "504-908-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCAGE",
        "first_name": "BRANDEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.