Austin Connor Brannon, MOT, LOTR

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

331744 Issued in LA

Practice address

67252 Industry LN
Covington, LA 70433-8704

Phone

(985) 801-6265

Fax

(985) 801-6213

NPI assigned

Jul 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Fairway Medical Center, LLC

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1265023170
  NPD
• Fairway Medical Center, LLC

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1851487086
  NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1124753678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 VERSAILLES BUSINESS PKWY APT 513",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336180",
            "telephone_number": "318-423-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67252 INDUSTRY LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338704",
            "telephone_number": "985-801-6265",
            "fax_number": "985-801-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "AUSTIN",
        "middle_name": "CONNOR",
        "credential": "MOT, LOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "331744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia S Braly, MD
• Dawn W Branch
• Hillary Brandner
• Joshua Stephen Brandner, DDS, MD
• Brandon Bean MD Apmc
• Donna Jill Branton, NP
• Todd Stephen Brasuell, DDS
• Braswell Drugs Inc
• Bridget L. Braud
• Kelli Braud

• Hand Occupational Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Hand Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.