Heather Rae Bronaugh, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

025950 Issued in LA

Practice address

1051 Gause Blvd Ste 410
Slidell, LA 70458-2995

Phone

(985) 280-9002

Fax

(985) 781-0200

NPI assigned

Nov 2, 2005

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428

  Surgery

  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Ochsner Urgent Care - Metairie

  • General Practice Physician
  • Metairie, LA
  • NPI 1215476015
  NPD
• Gulf Coast Rheumatology

  • Specialist
  • Slidell, LA
  • NPI 1669630604
  NPD (past)
• Slidell Memorial Hospital

  dba Slidell Radiation Center

  • Specialist
  • Slidell, LA
  • NPI 1558301093
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1144211632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 410",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582995",
            "telephone_number": "985-280-9002",
            "fax_number": "985-781-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 410",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582995",
            "telephone_number": "985-280-9002",
            "fax_number": "985-781-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONAUGH",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "025950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420271",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "5CR31",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00336861",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SMH PHYSICIAN NETWORK",
            "identifier": "1801020433",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiuana S. Bright, NP
• Britney Beard DDS LLC (Fremaux Dental Care)
• Brandi Britt
• Devin Reese Broadwater, M.D.
• David Scott Bronaugh, M.D.
• Karell Brookins
• Darlene Brooks-Sanville, LCSW
• Bianca Brooks
• Heather L Brooks, FNP-C
• Raquel Mone Brookter

• Surgery Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.