Organization Active NPI

Orthobr LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Baton Rouge, LA
National Provider Identifier
1154876670
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOBR LLC
Practice address
7414 Picardy Ave
Suite a
Baton Rouge, LA 70808-4696
Phone
(225) 769-6595
Fax
(225) 769-5064
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Ronald D. Sylvest, MDNPI 1205925070
Title
Ceo/Doctor
Phone
(225) 769-6595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

7414 Picardy Ave
Suite a
Baton Rouge, LA 70808-4696

Mailing address

7414 Picardy Ave
Suite a
Baton Rouge, LA 70808-4696
Phone (225) 769-6595

Other identifiers 1

IdentifierTypeStateIssuer
MD015745OtherLAORTHOPEDIC PHYSICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190606001899 LA Part B Supplier - Clinic/Group Practice 2466785498 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1154876670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 PICARDY AVE",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084696",
            "telephone_number": "225-769-6595",
            "fax_number": "225-769-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7414 PICARDY AVE",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084696",
            "telephone_number": "225-769-6595",
            "fax_number": "225-769-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOBR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "SYLVEST",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/DOCTOR",
        "authorized_official_telephone_number": "225-769-6595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOPEDIC PHYSICIAN",
            "identifier": "MD015745",
            "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 Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.