Brandi Sparks Basso, M.D.

Key facts

NPI

1154590842

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

203013 (LA)

Practice address

17199 Spring Ranch Rd Ste 200
Livingston, LA 70754-2900

Phone

(225) 686-4960

Fax

(225) 686-4961

NPI assigned

Feb 27, 2008

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• North Oaks Physician Group, LLC Multi-Specialty Clinic/Center · Hammond, LA · NPI 1427035211
  Medicare reassignment Care Compare group NPD LA
• Our Lady of the Lake Hospital Inc Internal Medicine Physician · Baton Rouge, LA · NPI 1275577603
  NPD (past) FAMILY MEDICINE

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Baton Rouge Medical Center LLC General Acute Care Hospital · Baton Rouge, LA · NPI 1053360651
  Care Compare affiliation Hospital
• North Oaks Medical Center, LLC Rural Acute Care Hospital · Hammond, LA · NPI 1144227539
  Care Compare affiliation Hospital
• Woman'S Hospital Foundation General Acute Care Hospital · Baton Rouge, LA · NPI 1912943184
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Oaks Physician Group LLC (62 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Oaks Medical Center Hospital · Hammond, LA · CCN 190015
• Ochsner Medical Center - Baton Rouge Hospital · Baton Rouge, LA · CCN 190202
• Womans Hospital Hospital · Baton Rouge, LA · CCN 190128

Medicare participation

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2022.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1154590842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-686-4960",
            "fax_number": "225-686-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17199 SPRING RANCH RD STE 200",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707542900",
            "telephone_number": "225-686-4960",
            "fax_number": "225-686-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSO",
        "first_name": "BRANDI",
        "middle_name": "SPARKS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1077887",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
            "affiliation": "Y",
            "affiliationName": "North Oaks Physician Group, LLC",
            "address_1": "17199 Spring Ranch Rd Ste 200",
            "city": "Livingston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707542900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Livingston, LA · Family Medicine Physician in Louisiana