Organization Active NPI

Baton Rouge Clinic, a Medical Corporation

  • Urology Physician
  • Baton Rouge, LA
National Provider Identifier
1124985353
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Jan 8, 2026

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1003310MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Baton Rouge Clinic AMC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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": []
}

Other providers in Baton Rouge, LA

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.

Verify at the official NPI Registry.