Active NPI
Baton Rouge Clinic, a Medical Corporation
- Urology Physician
- Baton Rouge, LA
National Provider Identifier
1124985353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BATON ROUGE CLINIC, A MEDICAL CORPORATION
- Practice address
- 8080 Bluebonnet Blvd Ste 3000
Baton Rouge, LA 70810-7829 - Phone
- (225) 769-4044
- NPI assigned
- Jan 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shunn Phillips
- Title
- Cfo, Administrator
- Phone
- (225) 769-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
8080 Bluebonnet Blvd Ste 3000
Baton Rouge, LA 70810-7829
Mailing address
7373 Perkins Rd
Baton Rouge, LA 70808-4373
Phone (225) 246-9790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003310 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Baton Rouge Clinic AMC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Slaughter, LA
- NPI 1154120491
-
- Pharmacy
- Baton Rouge, LA
- NPI 1235098203
-
- Family Medicine Physician
- Monroe, LA
- NPI 1285443366
-
- Community/Retail Pharmacy
- Monroe, LA
- NPI 1518811736
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1528941655
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1831496793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1124985353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 PERKINS RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084373",
"telephone_number": "225-246-9790",
"fax_number": "225-246-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 BLUEBONNET BLVD STE 3000",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107829",
"telephone_number": "225-769-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BATON ROUGE CLINIC, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SHUNN",
"authorized_official_title_or_position": "CFO, ADMINISTRATOR",
"authorized_official_telephone_number": "225-769-4044"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003310",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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- Baton Rouge Children'S Advocacy Center
- Baton Rouge Chiropractic and Nutrition, LLC
- Baton Rouge Clinic, a Medical Corporation
- Baton Rouge Clinic, a Medical Corporation
- Baton Rouge Clinic, a Medical Corporation
- Baton Rouge Clinic, a Medical Corporation
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.